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Individual

MR. JEFFREY L. VANDENBUSSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.008984
IL
101YP2500X
Professional Counselor
Primary
180.011982
IL
106H00000X
Marriage & Family Therapist
208.000303
IL

Other

Enumeration date
02/13/2013
Last updated
10/25/2023
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