Provider Demographics
NPI:1174995971
Name:VANDEN HOUTEN, PAIGE FRANCES (MHP BSW)
Entity type:Individual
Prefix:MISS
First Name:PAIGE
Middle Name:FRANCES
Last Name:VANDEN HOUTEN
Suffix:
Gender:F
Credentials:MHP BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-4519
Mailing Address - Country:US
Mailing Address - Phone:630-966-4492
Mailing Address - Fax:630-236-1488
Practice Address - Street 1:1230 PEARL ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4519
Practice Address - Country:US
Practice Address - Phone:630-966-4492
Practice Address - Fax:630-236-1488
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health