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Individual

MR. LANCE BRANDON BETTISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LLPC

Contact information

Practice address
157 S KALAMAZOO MALL STE 250, KALAMAZOO, MI 49007-4828
(269) 383-1440
(269) 383-9781
Mailing address
2053 PARTRIDGE LN, KALAMAZOO, MI 49009-3009
(269) 823-4822
(269) 383-9781

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007679
MI

Other

Enumeration date
02/07/2018
Last updated
02/07/2018
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