Individual
PETER DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LLPC, LLMFT
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
2867 RIVERWOODS DR NE, ROCKFORD, MI 49341-9294
(616) 822-8592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016266
MI
106H00000X
Marriage & Family Therapist
4101006752
MI
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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