Individual
MS. VIVIAN MARIE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6815 W CAPITOL DR STE 208, MILWAUKEE, WI 53216-2056
(414) 466-3204
(414) 466-3206
Mailing address
4243A N 19TH ST, MILWAUKEE, WI 53209-6829
(414) 357-7774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
144417304
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12553874
COUNSELING, MARRIAGE & FAMILY THERAPY, GROUP THERAPY, AODA
WI
Enumeration date
03/11/2009
Last updated
04/09/2009
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