Individual
MR. ANDRE RUBIN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
8175 CREEKSIDE DR, SUITE 264, PORTAGE, MI 49024-5377
(269) 321-5033
Mailing address
1336 ROSEWOOD AVE SE, GRAND RAPIDS, MI 49506-3931
(616) 734-9779
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013802
MI
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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