Provider Demographics
NPI:1932449659
Name:HOUTMAN, ANA M (LMFT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:HOUTMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:MAESTAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:579 VIA PATRIA SW STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-9328
Mailing Address - Country:US
Mailing Address - Phone:575-635-7557
Mailing Address - Fax:
Practice Address - Street 1:579 VIA PATRIA SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-9328
Practice Address - Country:US
Practice Address - Phone:575-635-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NMT-0182941106H00000X
NMCTB-2022-0045106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst