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Organization

STACEY VANDENBERG, LLC

Active
Other names
Vandenberg Consulting, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY LYNN VANDENBERG MA, LPC, NCC, CAADC (OWNER/COUNSELOR)
(231) 343-2781
Entity
Organization

Contact information

Practice address
3531 DENVER DR, MUSKEGON, MI 49445-2196
(231) 343-2781
Mailing address
3531 DENVER DR, MUSKEGON, MI 49445-2196
(231) 343-2781

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401006558
MI

Other

Enumeration date
09/27/2015
Last updated
09/27/2015
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