Organization
CONSCIOUS HEALING THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
569 WILDWOOD AVE UNIT 4, JACKSON, MI 49201-1048
(734) 219-9636
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
12/20/2023
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