Individual
MRS. JESICA MARIE VANHAMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ATR LLPC
Contact information
Practice address
15265 PARIS ST, ALLEN PARK, MI 48101-3513
(313) 409-0065
Mailing address
15265 PARIS ST, ALLEN PARK, MI 48101-3513
(313) 409-0065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013552
MI
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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