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Individual
JACK HOUSWORTH
Active
Individual
JACK HOUSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11262
TX
1041C0700X
Clinical Social Worker
Primary
60367
TX
Other
Enumeration date
09/02/2011
Last updated
01/28/2019
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