Individual
MRS. PAMELA SUE VAN KAMPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 48304-2769
(248) 642-6066
(248) 642-5739
Mailing address
74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 48304-2769
(248) 642-6066
(248) 642-5739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007528
MI
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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