Individual
MRS. CAROLYN J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
(810) 664-8728
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
(810) 664-8728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013763
MI
Other
Enumeration date
10/14/2014
Last updated
02/12/2019
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