Individual
SUSAN LAVERNE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
KY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
09/19/2025
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