Provider Demographics
NPI:1609928761
Name:HOWSER, DAVID (M DIV, LCPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HOWSER
Suffix:
Gender:M
Credentials:M DIV, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6961 N OAKLEY AVE
Mailing Address - Street 2:#102-A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4751
Mailing Address - Country:US
Mailing Address - Phone:773-450-3395
Mailing Address - Fax:
Practice Address - Street 1:5244 N LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2221
Practice Address - Country:US
Practice Address - Phone:773-450-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional