Provider Demographics
NPI:1881476224
Name:HOUGH, ANDREW HOUSTON (LAC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HOUSTON
Last Name:HOUGH
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 S RURAL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3880
Mailing Address - Country:US
Mailing Address - Phone:480-656-0500
Mailing Address - Fax:
Practice Address - Street 1:6515 S RURAL RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3880
Practice Address - Country:US
Practice Address - Phone:480-656-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health