Provider Demographics
NPI:1205061421
Name:HOUSE, DAVID CLINTON (LPC S)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CLINTON
Last Name:HOUSE
Suffix:
Gender:M
Credentials:LPC S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14704 PERTHSHIRE RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-7611
Mailing Address - Country:US
Mailing Address - Phone:281-293-9849
Mailing Address - Fax:
Practice Address - Street 1:13333 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE # 230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3565
Practice Address - Country:US
Practice Address - Phone:281-277-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17867101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional