Provider Demographics
NPI:1801124938
Name:HOURANY, JOHANNA JUSTINE (MFTI)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:JUSTINE
Last Name:HOURANY
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 GALEN DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3406
Mailing Address - Country:US
Mailing Address - Phone:925-932-6162
Mailing Address - Fax:
Practice Address - Street 1:118 GALEN DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3406
Practice Address - Country:US
Practice Address - Phone:925-646-1444
Practice Address - Fax:510-374-7033
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist