Individual
MR. KEN ALAN VANELSLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, SST
Contact information
Practice address
120 S MAIN ST, SUITE C, MILFORD, MI 48381-1975
(248) 390-5791
Mailing address
770 KNOLLS LANDING DR, MILFORD, MI 48381-1888
(313) 212-7586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L1960471
MI
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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