Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 0558 | CO |
Y | 101YP1600X | Pastoral Counselor | 0718 | CO |
NPI | 1194084277 |
---|---|
Provider Name | Dr. Thomas Charles Houston |
First Address | Denver, CO 80235-2954 |
Second Address | Denver, CO 80210-3925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2012 |
Last Update Date | 18/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0558 | AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (01) | CO |
0718 | AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (01) | CO |