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Douglas Vandenberg
Peer Specialist in Canton, Michigan
NPI 1427759901

Douglas Vandenberg is a Peer Specialist based in New Hudson, MI. Douglas Vandenberg practices in Canton, MI. The NPI Number for Douglas Vandenberg is 1427759901 and holds a License No. (Michigan).

The current practice location address for Douglas Vandenberg is 50430 School House Rd Ste 100, Canton, MI and can be reached out via phone at 734-495-1722.

Location: 50430 School House Rd Ste 100, Canton, MI, 48165-9814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427759901
Provider Name
Douglas Vandenberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
50430 School House Rd Ste 100, Canton, MI, 48165-9814
Phone Number
734-495-1722
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50430 School House Rd Ste 100
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-1722
Fax Number
person
Provider Business Mailing Address Details
Address
50430 School House Rd Ste 100
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-1722
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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