Individual
MICHAELLE ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4808 TUCKERMAN ST, RIVERDALE, MD 20737-1145
(240) 528-1534
Mailing address
4808 TUCKERMAN ST, RIVERDALE, MD 20737-1145
(240) 528-1534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12324
MD
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/28/2019
Last updated
02/23/2022
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