Provider Demographics
NPI:1962004622
Name:HUDDLESTON, MARGARET LYNN (LMFT, CCATP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LYNN
Last Name:HUDDLESTON
Suffix:
Gender:F
Credentials:LMFT, CCATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6508 STONEY VIEW LN UNIT 3
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-6429
Mailing Address - Country:US
Mailing Address - Phone:805-428-7705
Mailing Address - Fax:
Practice Address - Street 1:3655 ALAMO ST STE 200
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2187
Practice Address - Country:US
Practice Address - Phone:818-491-9004
Practice Address - Fax:818-294-7839
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116985106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist