| NPI | 1225319379 |
|---|---|
| Other Name | JACK LEWIS HOUSWORTH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11262) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-01-28 |