Individual
MRS. JOSIE MARIA DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC SCL NCC
Contact information
Practice address
1138 FISK ST, NILES, MI 49120-9532
(269) 240-7309
(269) 683-1014
Mailing address
1138 FISK ST, NILES, MI 49120-9532
(269) 240-7309
(269) 683-1014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010939
MI
101YS0200X
School Counselor
SC0000574
MI
Other
Enumeration date
07/28/2011
Last updated
11/17/2011
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