Brandon M Houk, LMHC
Counselor, Mental Health in St Augustine, FL. Individual provider (NPI-1).
NPI number1730284530
StatusActive
Last updated in NPPESNov 24, 2015
Details
- NPI
- 1730284530
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon M Houk
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Nov 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH12288 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | LPC3487 | ID |
Practice location
2200 N Ponce De Leon Blvd Ste 4St Augustine, FL 32084-2650
Phone 208-716-0425
Mailing address
2200 N Ponce De Leon Blvd Ste 4St Augustine, FL 32084-2650
Phone 208-716-0425
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