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NPI Code Detail

MEDICARE: MS. GAIL R. HOUK LPCC -S

MEDICARE: MS. GAIL R. HOUK LPCC -S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE0001582 SUPVOH

General Provider Information

NPI Number : 1699741702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL R. HOUK LPCC -S
Provider Business Mailing Address
First Line : 1005 LAKESHORE WALK
Second Line :
City : MEDINA
State : OH
Zip : 44256-1294
Country : US
Telephone Number : 330-391-0586
Fax Number : 330-725-9187
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR
Second Line : SUITE 200A
City : MEDINA
State : OH
Zip : 44256-3441
Country : US
Telephone Number : 330-725-9195
Fax Number : 330-725-9187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 01/31/2012

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