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General NPI Number Information
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NPI Number | 1669615100
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Entity Type | Individual
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Provider Name | ANTHONY P HOUSTON LICSW LMHC CDP MAC
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 5441 S MACADAM AVE STE 4360
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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Country | US
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Telephone | 541-531-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 5441 S MACADAM AVE STE 4360
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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Country | US
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Telephone | 541-531-7532
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | NAADAC MAC # 507277
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00003698
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00010663
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00009326
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L15271
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License Number State | OR
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