Individual
DOUGLAS GENE VANDERLAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
721 WASHINGTON AVE, SUITE 400, BAY CITY, MI 48708-5729
(989) 450-1904
Mailing address
1608 GREEN AVE, BAY CITY, MI 48708-5509
(989) 450-1904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009642
MI
Other
Enumeration date
07/21/2006
Last updated
01/17/2013
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