Provider Demographics
NPI:1134300304
Name:HOUSTON, KATHLEEN J
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:J
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 W US HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-3515
Mailing Address - Country:US
Mailing Address - Phone:210-675-9000
Mailing Address - Fax:210-675-9020
Practice Address - Street 1:7130 W US HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-3515
Practice Address - Country:US
Practice Address - Phone:210-675-9000
Practice Address - Fax:210-675-9020
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25668101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor