person
Mr. Brandon M Houk, LMHC
Mental Health Counselor in St Augustine, Florida
NPI 1730284530

Brandon M Houk is a Mental Health Counselor based in St Augustine, FL and is specialized in Mental Health. Brandon M Houk practices in St Augustine, FL and has the professional credentials of LMHC. The NPI Number for Brandon M Houk is 1730284530 and holds a License No. LPC3487 (Florida).

The current practice location address for Brandon M Houk is 2200 N Ponce De Leon Blvd Ste 4, St Augustine, FL and can be reached out via phone at 208-716-0425.

Location: 2200 N Ponce De Leon Blvd Ste 4, St Augustine, FL, 32084-2650
person
Provider Profile Details
NPI Number
1730284530
Provider Name
Brandon M Houk
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2200 N Ponce De Leon Blvd Ste 4, St Augustine, FL, 32084-2650
Phone Number
208-716-0425
Fax Number
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002658300 05 ID
820428306 01 ID IDAHO PHYSICIANS NETWORK
820428306 01 ID TRICARE
X6882 01 ID BLUE CROSS OF IDAHO
000010151980 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2200 N Ponce De Leon Blvd Ste 4
City
State
Zip
32084-2650
Phone Number
208-716-0425
Fax Number
person
Provider Business Mailing Address Details
Address
2200 N Ponce De Leon Blvd Ste 4
City
State
Zip
32084-2650
Phone Number
208-716-0425
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC3487 (Idaho)
Definition
Definition to come...
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