Individual
RYAN DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2395 JOLLY RD STE 160, OKEMOS, MI 48864-5977
(517) 301-5399
Mailing address
2395 JOLLY RD STE 160, OKEMOS, MI 48864-5977
(517) 918-4371
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017109
MI
Other
Enumeration date
03/30/2017
Last updated
06/26/2020
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