Individual
JENNIFER VANDERVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1031 S MAIN ST, PLYMOUTH, MI 48170-2022
(734) 359-5500
Mailing address
1031 S MAIN ST, PLYMOUTH, MI 48170-2022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451013467
MI
Other
Enumeration date
06/19/2023
Last updated
06/21/2023
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