Provider Demographics
NPI:1164744462
Name:HOUSER, KERRIN L (MA, LPC, LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KERRIN
Middle Name:L
Last Name:HOUSER
Suffix:
Gender:F
Credentials:MA, LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E 15TH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3451
Mailing Address - Country:US
Mailing Address - Phone:503-819-4859
Mailing Address - Fax:
Practice Address - Street 1:404 E 15TH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3451
Practice Address - Country:US
Practice Address - Phone:503-819-4859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-27
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60152268101YM0800X
ORC2449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional