Provider Demographics
NPI:1588148597
Name:HOUSER, RICK ALLEN
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:ALLEN
Last Name:HOUSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3814 DESERT PINON DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-2540
Mailing Address - Country:US
Mailing Address - Phone:505-234-2713
Mailing Address - Fax:
Practice Address - Street 1:3814 DESERT PINON DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-2540
Practice Address - Country:US
Practice Address - Phone:505-234-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health