Individual
KENNETH CHUCK HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1104 MAIN ST, SUITE 500, VANCOUVER, WA 98660-2999
(360) 695-0115
(360) 695-3436
Mailing address
1104 MAIN ST, SUITE 500, VANCOUVER, WA 98660-2999
(360) 695-0115
(360) 695-3436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
020704
WA
1041C0700X
Clinical Social Worker
350985
OR
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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