Provider Demographics
NPI:1982219275
Name:HOUGH, JOHN JR (LPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:HOUGH
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7259 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-3659
Mailing Address - Country:US
Mailing Address - Phone:610-597-5954
Mailing Address - Fax:
Practice Address - Street 1:7259 LINCOLN CT
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066-3659
Practice Address - Country:US
Practice Address - Phone:610-597-5954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional