Individual
MR. MARK ALLEN BARNHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
901 EASTERN AVE NE, BETHANY CHRISTIAN SERVICES, GRAND RAPIDS, MI 49501-0294
(616) 224-7569
(616) 224-7581
Mailing address
901 EASTERN AVE NE, BETHANY CHRISTIAN SERVICES, GRAND RAPIDS, MI 49501-0294
(616) 224-7569
(616) 224-7581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301005098
STATE OF MICHIGAN - BOARD OF PSYCHOLOGY LICENSE
MI
Enumeration date
07/20/2011
Last updated
07/20/2011
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