Doctor Name: | JESSICA HOUGHTON |
NPI Number: | 1316236003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05501200 |
Business Practice Address: | 739 S White Horse Pike Suite 10 Audubon, NJ - 081061659 |
Business Phone Number: | 8566174542 |
Business Fax Number: | |
Mailing Address: | 739 S White Horse Pike, Suite 10 AUDUBON |
State: | NJ |
Postal Code: | 081061659 |
Phone Number: | 8566174542 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05501200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |