Provider Demographics
NPI:1942066949
Name:HOUGHTON, CHERYL A (MA, NCC, LCMHCA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:MA, NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 BAHIA LN
Mailing Address - Street 2:
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9285
Mailing Address - Country:US
Mailing Address - Phone:310-892-8087
Mailing Address - Fax:
Practice Address - Street 1:215 N 35TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3186
Practice Address - Country:US
Practice Address - Phone:252-207-0545
Practice Address - Fax:252-364-4620
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health