Individual
AMY VANZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC
Contact information
Practice address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
Mailing address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
6401009406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401009406
LICENSE NUMBER
MI
Enumeration date
09/22/2015
Last updated
03/11/2019
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