Healthcare Provider Details

I. General information

NPI: 1982064218
Provider Name (Legal Business Name): CATHERINE HOUSE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5266 HOLLISTER AVE
SANTA BARBARA CA
93111-2037
US

IV. Provider business mailing address

5266 HOLLISTER AVE STE 211
SANTA BARBARA CA
93111-4040
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-7384
  • Fax: 805-681-7385
Mailing address:
  • Phone: 805-451-6013
  • Fax: 805-681-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMFC31259
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC31259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: