Individual
MS. MARY HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5890
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
509
NE
1041C0700X
Clinical Social Worker
509
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660433
—
NE
Enumeration date
08/21/2006
Last updated
09/07/2007
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