Individual
DR. DANA HOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22935 FARWELL AVE, FARIBAULT, MN 55021-7885
(507) 685-4662
Mailing address
22935 FARWELL AVE, 22935, FARIBAULT, MN 55021-7885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01103
MN
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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