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Individual

GLENN C HOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC/LLMFT

Contact information

Practice address
4886 SCARBOROUGH ST, JACKSON, MI 49201-9012
(517) 392-0366
Mailing address
4886 SCARBOROUGH ST, JACKSON, MI 49201-9012
(517) 392-0366

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
601013113
MI
106H00000X
Marriage & Family Therapist
4101006535
MI

Other

Enumeration date
04/11/2013
Last updated
04/11/2013
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