JONATHAN ROYCE VANDERVLUGT

CROWN POINT, IN
NPI1215534037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies103TC1900X Psychologist, Counseling
Enumeration Date2020-10-05
Last Update Date2020-10-12
Business Address
JONATHAN ROYCE VANDERVLUGT LMHCA
9614 GRANADA CT APT 111
CROWN POINT, IN 46307-2161
Phone number: 773-732-1155
Mailing Address
JONATHAN ROYCE VANDERVLUGT LMHCA
9614 GRANADA CT APT 111
CROWN POINT, IN 46307-2161
Phone number: 773-732-1155
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