Individual
KIM HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
366 PENNEY VIEW CT, NORTH LAS VEGAS, NV 89032-6145
(562) 296-7929
(702) 988-2622
Mailing address
366 PENNEY VIEW CT, NORTH LAS VEGAS, NV 89032-6145
(562) 296-7929
(702) 988-2622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
58816
NV
261QC1500X
Community Health Clinic/Center
470371
CA
Other
Enumeration date
03/07/2014
Last updated
07/25/2016
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