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Individual

JAMES LEENHOUTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LLP

Contact information

Practice address
12048 JAMES ST, HOLLAND, MI 49424-9661
(616) 393-0623
Mailing address
6490 SPRUCE LN, HOLLAND, MI 49423-8921
(616) 335-9265

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006643
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301006643
MI

Other

Enumeration date
12/10/2010
Last updated
12/10/2010
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