MEDICARE: STEPHANIE HOUSE MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1700271673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HOUSE MA

Provider Business Mailing Address
First Line	:	56 SMOKE HILL RIDGE RD
Second Line	:
City	:	MARSHFIELD
State	:	MA
Zip	:	02050-2576
Country	:	US
Telephone Number	:	609-216-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 DERBY ST STE 6
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4021
Country	:	US
Telephone Number	:	609-216-0329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	06/06/2024

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Directions to “ STEPHANIE HOUSE MA” Practice Location

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