Provider Demographics
NPI:1083986459
Name:HOUSTON, NATALIE HULL (MS, LPC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:HULL
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 SW COLUMBIA ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3227
Mailing Address - Country:US
Mailing Address - Phone:541-325-3339
Mailing Address - Fax:541-388-0479
Practice Address - Street 1:390 SW COLUMBIA ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3227
Practice Address - Country:US
Practice Address - Phone:541-325-3339
Practice Address - Fax:541-388-0479
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health