Individual
CHERYL L HOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 840-4685
(619) 278-0770
Mailing address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 840-4685
(619) 278-0770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013045905
—
CA
Enumeration date
03/19/2019
Last updated
03/19/2019
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