Koreen Houghton is a Clinical in Kenosha, Wisconsin. Koreen Houghton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Koreen Houghton is 1659428696. The last update date is 2008-06-30.
Koreen Houghton's current location address is 6233 39th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626541004 and fax number 2626546960. The mailing address for Koreen Houghton is 6233 39th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Koreen Houghton |
|---|---|
| Address | 6233 39th Ave, Kenosha, Wisconsin |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1659428696 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 6233 39th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427015 |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2376-123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43560800 | WI | -- |
Post Comment/ Review Below
What is the Koreen Houghton's 1659428696?
The Koreen Houghton's NPI (National Provider Identifier) Number is 1659428696. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Koreen Houghton located?
The Koreen Houghton is located at 6233 39Th Ave, Kenosha, WI 531427015.
What is Koreen Houghton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Koreen Houghton's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Koreen Houghton receive its 1659428696 assignment?
The Koreen Houghton was assigned its 1659428696 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Koreen Houghton most recently updated or revised?
The details related to Koreen Houghton, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-30.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI