Doctor Name: | RHONDA OVERBERGER |
NPI Number: | 1013065762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LMFT |
License Number: | 6401008251 |
Business Practice Address: | 605 Howard St Kalamazoo, MI - 490081919 |
Business Phone Number: | 2692077549 |
Business Fax Number: | |
Mailing Address: | 1413 Hillcrest Ave, KALAMAZOO |
State: | MI |
Postal Code: | 490081829 |
Phone Number: | 2693419629 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401008251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |