Individual
MR. DAVID CLARK HOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
620 LYNNDALE CT, SUITE A, GREENVILLE, NC 27858-5462
(252) 559-7450
Mailing address
3258 MISTY PINES RD, GREENVILLE, NC 27858-9011
(252) 559-7450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-000327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056788
CIGNA
NC
01
—
44013
BLUECROSS/BLUE SHIELD
NC
05
—
6002153
—
NC
Enumeration date
06/14/2006
Last updated
07/18/2011
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