Individual
MISS SHANTI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(800) 231-1127
Mailing address
461 W HURON ST, PONTIAC, MI 48341-1601
(800) 231-1127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007116
MI
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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