Individual
EZEKIEL MICHAEL VANDEHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
307 1ST AVE E STE 22, KALISPELL, MT 59901-4965
(406) 607-9156
Mailing address
307 1ST AVE E STE 22, KALISPELL, MT 59901-4965
(406) 607-9156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-62687
MT
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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