Provider Demographics
NPI:1639466493
Name:HOUSTON, DOROTHY (MFTI)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1986
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94802-0986
Mailing Address - Country:US
Mailing Address - Phone:510-234-4974
Mailing Address - Fax:510-234-4975
Practice Address - Street 1:3215 NEVIN AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-1721
Practice Address - Country:US
Practice Address - Phone:510-232-7633
Practice Address - Fax:510-215-2432
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor