Individual
MR. ERIC JOHN DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
12048 JAMES ST, HOLLAND, MI 49424-9661
(616) 499-2592
Mailing address
12048 JAMES ST, HOLLAND, MI 49424-9661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009908
MI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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