Vandenboom, Debra L

Vandenboom, Debra L is an individual health care provider with primary practice located at 80 Elkenburg St , South Haven MI 49090-1275. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vandenboom, Debra L can be contacted via phone (269) 205-3502.

Contact Information

Primary practice address
80 Elkenburg St South Haven MI 49090-1275
Phone: (269) 205-3502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6451020862 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401224288 Michigan

Profile Details

NPI number 1043935687
LBN Legal business name Vandenboom, Debra L
Credentials MAPCC LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2022
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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