Individual
ANDREA R ROSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(800) 678-5500
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401008777
MI
101YM0800X
Mental Health Counselor
6401008777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
10/27/2006
Last updated
06/16/2023
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