Provider Demographics
NPI:1922985324
Name:HOUSTON, DONDRA M (LSW)
Entity type:Individual
Prefix:
First Name:DONDRA
Middle Name:M
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3427
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:AK
Mailing Address - Zip Code:99559-3427
Mailing Address - Country:US
Mailing Address - Phone:725-599-2183
Mailing Address - Fax:725-599-2183
Practice Address - Street 1:700 CHIEF EDDIE HOFFMAN HIGHWAY
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:AK
Practice Address - Zip Code:99559-9955
Practice Address - Country:US
Practice Address - Phone:725-599-2183
Practice Address - Fax:725-599-2183
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61595644104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker