Individual
JOANNE BETH VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1243 EUNA VISTA CT, HOLLAND, MI 49423-6608
(616) 796-0302
Mailing address
1243 EUNA VISTA CT, HOLLAND, MI 49423-6608
(616) 796-0302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301009812
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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