Organization
ANXIETY AND STRESS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY OUIDA HOUSTON PH.D. (OWNER)
(708) 349-5433
Entity
Organization
Contact information
Practice address
18161 MORRIS AVE, SUITE 102, HOMEWOOD, IL 60430-2108
(708) 349-5433
(708) 349-5434
Mailing address
18161 MORRIS AVE, SUITE 102, HOMEWOOD, IL 60430-2108
(708) 349-5433
(708) 349-5434
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071004128
IL
103TC0700X
Clinical Psychologist
071004128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6894
RAILROAD PTAN
IL
Enumeration date
01/13/2007
Last updated
06/12/2016
Update your record
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