Individual
MICHELLE SHORTHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
(517) 789-1286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/10/2017
Last updated
07/23/2024
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