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NPI Code Detail

MEDICARE: JENNIFER MARIE HOUCK

MEDICARE:   JENNIFER MARIE HOUCK
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
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1578209276
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIE HOUCK
Provider Business Mailing Address
First Line : PO BOX 32
Second Line :
City : ROCK ISLAND
State : WA
Zip : 98850-0032
Country : US
Telephone Number : 509-293-3718
Fax Number :
Provider Business Practice Location Address
First Line : 145 S WORTHEN ST
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-3081
Country : US
Telephone Number : 509-662-6761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2022
Last Update Date : 05/06/2022

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Directions to “ JENNIFER MARIE HOUCK ” Practice Location

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