Individual
MARANDA RAE HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 747-7429
Mailing address
23463 GREENWOOD BLVD, ELKHART, IN 46516-6140
(574) 747-7429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99102035A
IN
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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