Individual
KAYLA VANDER HAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3292 BLACK HILLS DR, HASTINGS, MI 49058-7745
(419) 957-6937
Mailing address
3292 BLACK HILLS DR, HASTINGS, MI 49058-7745
(419) 957-6937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017893
MI
101YP2500X
Professional Counselor
C.1500081
OH
Other
Enumeration date
08/10/2017
Last updated
09/11/2024
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