Individual provider · Type 1 NPI

Micaella Maria Vandenboom, LPC

Professional Counselor · De Pere, WI

NPI number 1841969151 Active

Practice location

1325 Angels Path
De Pere, WI 54115-4050

Call (920) 338-2855 Map

Fax (920) 338-9270

Mailing address

PO Box 22040
Green Bay, WI 54305-2040

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7857-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1841969151

Micaella Maria Vandenboom, LPC's National Provider Identifier is 1841969151, issued on Sep 9, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in De Pere, WI. The record was last updated on Sep 9, 2021.