Individual
ANDI HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
Mailing address
10495 SCHRIER LANE, PORTAGE, MI 49024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801107678
MI
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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