Individual
MR. ANDREW EDMOND GREENLEE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA., MED., LPC
Contact information
Practice address
150 STIMSON ST, DETROIT, MI 48201-2410
(313) 993-4700
(313) 831-2299
Mailing address
91 GLENDALE ST, HIGHLAND PARK, MI 48203-3274
(313) 263-0077
(313) 883-0422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401004038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740313238
PROVIDER ID
MI
05
—
36022440
—
MI
Enumeration date
10/31/2007
Last updated
10/31/2007
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