Individual provider · Type 1 NPI
Theresa Houston
Professional Counselor · Atlanta, GA
NPI number
1316216104
Active
Practice location
3781 Presidential Pkwy, 111D
Atlanta, GA 30340-3702
Fax (770) 452-1509
Mailing address
253 Villa Grande Dr
Locust Grove, GA 30248-7110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC5948 (GA) |
| Professional Counselor | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1316216104
Theresa Houston's National Provider Identifier is 1316216104, issued on Dec 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Jun 6, 2024.