Provider Demographics
NPI:1699741702
Name:HOUK, GAIL R (LPCC -S)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:R
Last Name:HOUK
Suffix:
Gender:F
Credentials:LPCC -S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 LAKESHORE WALK
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1294
Mailing Address - Country:US
Mailing Address - Phone:330-391-0586
Mailing Address - Fax:330-725-9187
Practice Address - Street 1:246 NORTHLAND DR
Practice Address - Street 2:SUITE 200A
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3441
Practice Address - Country:US
Practice Address - Phone:330-725-9195
Practice Address - Fax:330-725-9187
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001582 SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional