Individual
CONNIE J HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,C.
Contact information
Practice address
2209 FOREST HILLS DR, SUITE 19, HARRISBURG, PA 17112-1095
(717) 540-4420
(717) 540-4427
Mailing address
2209 FOREST HILLS DR, SUITE 19, HARRISBURG, PA 17112-1095
(717) 540-4420
(717) 540-4427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN157192L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50009502
CAPITAL BLUE CROSS
PA
01
—
500756
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/28/2006
Last updated
07/08/2007
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