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Individual

ANDREA BUSCHBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
23200 PONTIAC TRL STE B, SOUTH LYON, MI 48178-1983
(219) 926-8320
Mailing address
23200 PONTIAC TRL STE B, SOUTH LYON, MI 48178-1983

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451019301
MI

Other

Enumeration date
11/08/2017
Last updated
09/15/2025
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