Individual
ANNDREA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7540
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012979
MI
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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