Individual
MRS. MARIANNE M VANDENBOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1332 PROSPECT AVENUE, TUSCOLA BEHAVIORAL HEALTH, CARO, MI 48732
(989) 673-6191
(989) 672-3170
Mailing address
323 N. STATE STREET, TUSCOLA BEHAVIORAL HEALTH, CARO, MI 48723
(989) 673-6191
(989) 672-2199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801073813
MI
Other
Enumeration date
11/15/2006
Last updated
07/22/2015
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