Individual
BETTY VANDER LAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 DEMPSTER STREET, JUNG CENTER, EVANSTON, IL 60201
(312) 787-8425
Mailing address
15746 CHURCH DR, SOUTH HOLLAND, IL 60473-1540
(708) 309-5724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012016
IL
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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