Provider Information for 1154555944
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NATASHA HOUSTON EdD. LCPC.LCSW.LMFT.
Sex: Female
NPI: 1154555944
Last Updated: 2012-08-14
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1154555944 | ||||||||||||
Enumeration Date | 2009-05-07 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547-2538 United States Phone: 910-450-4159 | Fax:910-450-4194 | ||||||||||||
Primary Practice Address | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547-2538 United States Phone: 910-450-4159 | Fax:910-450-4194 | ||||||||||||
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