Organization
LEONARD VANDERJAGT, PH.D. & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD VANDERJAGT PH.D. (OWNER)
(517) 349-6590
Entity
Organization
Contact information
Practice address
1660 HASLETT RD, HASLETT, MI 48840-8469
(517) 349-6590
(517) 349-6590
Mailing address
4470 MAUMEE DR, OKEMOS, MI 48864-2448
(517) 349-6590
(517) 349-6590
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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