Individual
CASEY HOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(720) 339-5299
Mailing address
4987 STUCKEY DR, SAN JOSE, CA 95124-5121
(720) 339-5299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
06/26/2023
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