Provider Demographics
NPI:1215337670
Name:HOUSEN, YVETE
Entity type:Individual
Prefix:MRS
First Name:YVETE
Middle Name:
Last Name:HOUSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 7TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4003
Mailing Address - Country:US
Mailing Address - Phone:301-933-8188
Mailing Address - Fax:301-933-9337
Practice Address - Street 1:4200 FORBES BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4342
Practice Address - Country:US
Practice Address - Phone:443-203-5271
Practice Address - Fax:301-459-1986
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-1499101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health