Provider Demographics
NPI:1275672388
Name:HOUSE, CATHY LYNN (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LYNN
Last Name:HOUSE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5491 TEHACHAPI WILLOW SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ROSAMOND
Mailing Address - State:CA
Mailing Address - Zip Code:93560-7504
Mailing Address - Country:US
Mailing Address - Phone:661-400-2908
Mailing Address - Fax:661-256-6952
Practice Address - Street 1:43535 17TH ST W
Practice Address - Street 2:SUITE 304
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5984
Practice Address - Country:US
Practice Address - Phone:661-942-4079
Practice Address - Fax:661-942-3887
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38209101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health