Individual
MR. MICHAEL ALAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423-7141
(616) 355-3926
(616) 393-6651
Mailing address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423-7141
(616) 355-3926
(616) 393-6651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013771
MI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301013771
MI
Other
Enumeration date
11/08/2007
Last updated
03/14/2014
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