Doctor Name: | MRS. JEAN BETH HOUTS |
NPI Number: | 1104845262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 86921 |
Business Practice Address: | 415 S Cedros Ave 210 Solana Beach, CA - 920751945 |
Business Phone Number: | 8584818860 |
Business Fax Number: | 8584811779 |
Mailing Address: | 415 S Cedros Ave, 210 SOLANA BEACH |
State: | CA |
Postal Code: | 920751945 |
Phone Number: | 8584818860 |
Fax Number: | 8584811779 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS 86921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |