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Mr. Jack Randall Withenshaw, SW,LMFT
Marriage & Family Therapist in Port Huron, Michigan
NPI 1992968788

Jack Randall Withenshaw is a Marriage & Family Therapist based in Port Huron, MI. Jack Randall Withenshaw practices in Port Huron, MI and has the professional credentials of SW,LMFT. The NPI Number for Jack Randall Withenshaw is 1992968788 and holds a License No. 6802065221 (Michigan).

The current practice location address for Jack Randall Withenshaw is 1101 Military St, Port Huron, MI and can be reached out via phone at 810-984-5575 and via fax at 810-984-6433. You can also correspond with Jack Randall Withenshaw through the mailing address at 1101 MILITARY ST, PORT HURON, MI - 48060-5418 (mailing address contact number: 810-984-5575).

Location: 1101 Military St, Port Huron, MI, 48060-5418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992968788
Provider Name
Jack Randall Withenshaw
Credential
SW,LMFT
Provider Entity Type
Individual
Gender
Male
Address
1101 Military St, Port Huron, MI, 48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 Military St
City
Port Huron
State
Michigan
Zip
48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
person
Provider Business Mailing Address Details
Address
1101 Military St
City
Port Huron
State
Michigan
Zip
48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
4101006147 (Michigan)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
6802065221 (Michigan)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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