Individual
DAMOND HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
68 CEDAR ST, KUTTAWA, KY 42055-6287
(270) 601-4235
Mailing address
PO BOX 250, KUTTAWA, KY 42055-0250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252916
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/12/2012
Last updated
07/15/2024
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