Individual
MS. ANNA DEETTE VANWYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
950 TAYLOR AVE STE 260, GRAND HAVEN, MI 49417-2200
(231) 329-4262
(888) 972-2417
Mailing address
950 TAYLOR AVE STE 260, GRAND HAVEN, MI 49417-2200
(231) 329-4262
(888) 972-2417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401013905
LICENSE
MI
Enumeration date
02/09/2015
Last updated
07/21/2022
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