Individual
DALE R. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
450 MEADOW RUN DR, HASTINGS, MI 49058-9053
(269) 344-0202
(269) 344-0285
Mailing address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
(269) 344-0285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006507
MI
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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