Doctor Name: | REBECCA VANSETTERS |
NPI Number: | 1053490995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW, ACSW |
License Number: | 6801035649 |
Business Practice Address: | 261 N Main Cedar Springs, MI - 493199709 |
Business Phone Number: | 6166964034 |
Business Fax Number: | 6166966210 |
Mailing Address: | 11250 Harvard Ave Ne, ROCKFORD |
State: | MI |
Postal Code: | 493419551 |
Phone Number: | 6167546210 |
Fax Number: | 6166964034 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801035649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |