Female

Theresa Houston

Professional Counselor in Atlanta, GA(View on Map)

Full Name

Theresa Houston

NPI Number

1316216104

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/22/2011

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

LPC5948

Contact
Information

Purpose

Mailing
Location

Address

253 VILLA GRANDE DR
3781 PRESIDENTIAL PKWY

City

Locust Grove
Atlanta

State

GA
GA

Postal Code

30248-7110
30340-3702

Country

US
US

Telephone Number

(678) 668-3407
(678) 668-3407

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/06/2024

Provider Address

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