Provider Demographics
NPI:1538567128
Name:HOU, XIAOYAN (MA,CAGS, LMHC)
Entity type:Individual
Prefix:
First Name:XIAOYAN
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:MA,CAGS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 BEACON ST
Mailing Address - Street 2:#809
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-5350
Mailing Address - Country:US
Mailing Address - Phone:857-234-7556
Mailing Address - Fax:
Practice Address - Street 1:400 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4104
Practice Address - Country:US
Practice Address - Phone:781-986-4800
Practice Address - Fax:781-986-4801
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000009182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health