Individual
ANDREA LEENETTE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24166 TRAFALGAR CT, NOVI, MI 48374-3667
(248) 497-1001
Mailing address
24166 TRAFALGAR CT, NOVI, MI 48374-3667
(248) 497-1001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009648
MI
103TC0700X
Clinical Psychologist
Primary
6301019134
MI
Other
Enumeration date
10/19/2018
Last updated
12/30/2022
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