Provider Demographics
NPI:1245964923
Name:HOUGHTON, HOLLY ANNE (MSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANNE
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 QUINCY BRIDGE LN APT 102
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-5612
Mailing Address - Country:US
Mailing Address - Phone:630-433-6287
Mailing Address - Fax:
Practice Address - Street 1:684 QUINCY BRIDGE LN APT 102
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-5612
Practice Address - Country:US
Practice Address - Phone:630-433-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical