Individual
CATHERINE ANNE VANDEWEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
2250 SYLVAN AVE SE, GRAND RAPIDS, MI 49506-5253
(616) 574-4098
Mailing address
2250 SYLVAN AVE SE, GRAND RAPIDS, MI 49506-5253
(616) 574-4098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-02097
MI
1041C0700X
Clinical Social Worker
Primary
6801086218
MI
Other
Enumeration date
05/17/2007
Last updated
01/26/2012
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