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Individual
SUSAN HOUCK
Active
Individual
SUSAN HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
507765
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11286
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570569761
TAX ID
SC
05
—
AD01AK
—
SC
Enumeration date
05/20/2015
Last updated
01/16/2025
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