Provider Demographics
NPI:1679706287
Name:HOUSTON, CATHERINE (LPC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-4453
Mailing Address - Country:US
Mailing Address - Phone:720-628-0158
Mailing Address - Fax:
Practice Address - Street 1:5378 STERLING DR
Practice Address - Street 2:STUDIO 6
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2351
Practice Address - Country:US
Practice Address - Phone:720-628-0158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-29
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional