Individual
MR. ANDREW ROBERT WICHTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1090 N 10TH ST, KALAMAZOO, MI 49009-5733
(269) 375-4363
Mailing address
204 COLORADO ST, BATTLE CREEK, MI 49037-1014
(269) 274-2028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2835726
STATE OF MICHIGAN
MI
Enumeration date
05/05/2009
Last updated
05/05/2009
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