Provider Demographics
NPI:1750066445
Name:HOUSEN, RICHARDO (MA,NCC)
Entity type:Individual
Prefix:
First Name:RICHARDO
Middle Name:
Last Name:HOUSEN
Suffix:
Gender:M
Credentials:MA,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 STARBOARD VILLA APT 301
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5883
Mailing Address - Country:US
Mailing Address - Phone:352-988-3057
Mailing Address - Fax:
Practice Address - Street 1:420 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4505
Practice Address - Country:US
Practice Address - Phone:724-300-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health