Provider Demographics
NPI:1598978447
Name:HOUGHTON, PHOEBE COUES (LICSW)
Entity Type:Individual
Prefix:MS
First Name:PHOEBE
Middle Name:COUES
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ROXBURY ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-8801
Mailing Address - Country:US
Mailing Address - Phone:603-831-2420
Mailing Address - Fax:603-358-1099
Practice Address - Street 1:103 ROXBURY ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-8801
Practice Address - Country:US
Practice Address - Phone:603-831-2420
Practice Address - Fax:603-358-1099
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health