Individual provider · Type 1 NPI

Mark Andrew House, MA

Mental Health Counselor · Canton, NY

NPI number 1487783692 Active

Practice location

5862 US Highway # 11
Canton, NY 13617

Call (315) 379-0805 Map

Mailing address

339 Lakeshore Dr
Norwood, NY 13668-3205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003421 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1487783692

Mark Andrew House, MA's National Provider Identifier is 1487783692, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, NY. The record was last updated on Jul 8, 2007.