Individual
MARK R DERUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLMFT
Contact information
Practice address
778 COLUMBIA AVE W, BATTLE CREEK, MI 49015-3028
(269) 965-3247
(269) 966-4135
Mailing address
778 COLUMBIA AVE W, BATTLE CREEK, MI 49015-3028
(269) 965-3247
(269) 966-4135
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006710
MI
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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