Provider Demographics
NPI:1316159734
Name:HORENSTEIN, ANN (MFCC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:HORENSTEIN
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5431 GENTRY AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2112
Mailing Address - Country:US
Mailing Address - Phone:818-985-6788
Mailing Address - Fax:818-763-7512
Practice Address - Street 1:15720 VENTURA BLVD
Practice Address - Street 2:SUITE 603
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2914
Practice Address - Country:US
Practice Address - Phone:818-762-0059
Practice Address - Fax:818-763-7512
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM.F.C. 30205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist