Individual
LYNNETTE RESHAWN HOUSTON-VOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 S ALMA SCHOOL RD STE 105, MESA, AZ 85210-4013
(602) 919-4952
Mailing address
2345 S ALMA SCHOOL RD STE 105, MESA, AZ 85210-4013
(602) 712-6320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-13275
AZ
106H00000X
Marriage & Family Therapist
Primary
LMFT-15550
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659159325
NPI TYPE 2
AZ
Enumeration date
02/15/2017
Last updated
09/26/2023
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