House, Glenn C

House, Glenn C is an individual health care provider with primary practice located at 4886 Scarborough St , Jackson MI 49201-9012. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. House, Glenn C can be contacted via phone (517) 392-0366.

Contact Information

Primary practice address
4886 Scarborough St Jackson MI 49201-9012
Phone: (517) 392-0366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 601013113 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006535 Michigan

Profile Details

NPI number 1629411467
LBN Legal business name House, Glenn C
Credentials LLPC/LLMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers