Individual
MR. WESLEY BURDETTE VANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA IN COUNSELING
Contact information
Practice address
885 BEECH ST, LAKE ODESSA, MI 48849-9431
(616) 558-7464
Mailing address
885 BEECH ST, LAKE ODESSA, MI 48849-9431
(616) 558-7464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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