Individual
MRS. ANDREA LYNNE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195
(734) 785-7700
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011397
MI
Other
Enumeration date
08/31/2012
Last updated
01/09/2013
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