Individual
JIM E HOUSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1773 WOODSIDE TRL NW, GRAND RAPIDS, MI 49504-2580
(616) 453-1835
(616) 453-1725
Mailing address
9021 N RODGERS CT SE, SUITE C, CALEDONIA, MI 49316-7649
(616) 891-2100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009637
MI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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