Individual
SHEA MACKENZIE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
3931 LOUISIANA AVE S, SUITE E315, ST LOUIS PARK, MN 55426
(952) 993-5381
(952) 993-6539
Mailing address
3931 LOUISIANA AVE S, SUITE E315, ST LOUIS PARK, MN 55426
(952) 993-5381
(952) 993-6539
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1408
MN
170300000X
Genetic Counselor (M.S.)
1478-61
WI
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
06/11/2020
Last updated
05/15/2026
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