Provider Demographics
NPI:1043397953
Name:HOUGHTON, MARION PATRICIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:MARION
Middle Name:PATRICIA
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 VALLEY ST
Mailing Address - Street 2:APT. C-5
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2827
Mailing Address - Country:US
Mailing Address - Phone:973-762-9130
Mailing Address - Fax:
Practice Address - Street 1:120 PROSPECT ST
Practice Address - Street 2:SUITE D
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2103
Practice Address - Country:US
Practice Address - Phone:973-762-9130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI001522200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist