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Individual

MS. CAROLYNE S ANDERSOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC MA ATC RTC

Contact information

Practice address
501 W BRISTOL ST, ELKHART, IN 46514-2964
(574) 584-4571
Mailing address
1225 S 11TH ST, NILES, MI 49120
(269) 684-7741
(269) 684-3641

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010304
MI
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/24/2007
Last updated
06/04/2019
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