Individual
THOMAS DALE HOUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
406 N MONROE ST, MARKSVILLE, LA 71351-2356
(318) 253-1773
(318) 253-1773
Mailing address
117 WEDGEWOOD DR, LAFAYETTE, LA 70503-3235
(318) 359-5858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4437
LA
1041C0700X
Clinical Social Worker
Primary
4437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203519878
EMPLOYER IDENTIFICATION N
LA
Enumeration date
01/25/2006
Last updated
03/07/2023
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