Individual
BEVERLY JANIECE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
908 TUOLUMNE ST, VALLEJO, CA 94590-4641
(707) 648-8121
Mailing address
2106 BURGUNDY CT, FAIRFIELD, CA 94533-5808
(510) 908-4746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
04/08/2015
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