Individual provider · Type 1 NPI
Betty Vander Laan
Professional Counselor · Evanston, IL
NPI number
1609390962
Active
Practice location
817 Dempster Street, Jung Center
Evanston, IL 60201
Mailing address
15746 Church Dr
South Holland, IL 60473-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.012016 (IL) |
Professional Counselor: Definition to come...
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About NPI 1609390962
Betty Vander Laan's National Provider Identifier is 1609390962, issued on Jul 28, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Jul 28, 2017.