Individual
ANDREA LYNN PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2528 W WACKERLY ST, MIDLAND, MI 48640-6921
(989) 832-0191
(989) 486-9413
Mailing address
2528 W WACKERLY ST, MIDLAND, MI 48640-6921
(989) 832-0191
(989) 486-9413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6451022107
LICENSE
MI
Enumeration date
01/26/2022
Last updated
01/26/2022
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