Provider Demographics
NPI:1013952803
Name:BOUHER, MARGARET (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:BOUHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8318 UNIVERSITY AVE
Mailing Address - Street 2:SUITE A3
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-3865
Mailing Address - Country:US
Mailing Address - Phone:619-462-5029
Mailing Address - Fax:619-582-9955
Practice Address - Street 1:8318 UNIVERSITY AVE
Practice Address - Street 2:SUITE A3
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3865
Practice Address - Country:US
Practice Address - Phone:619-462-5029
Practice Address - Fax:619-582-9955
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS100521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW10052Medicare ID - Type Unspecified