person
Andra Modock, MA,LLPC,NCE
Professional Counselor in Westland, Michigan
NPI 1205417896

Andra Modock is a Professional Counselor based in Westland, MI and is specialized in Professional. Andra Modock practices in Westland, MI and has the professional credentials of MA,LLPC,NCE. The NPI Number for Andra Modock is 1205417896 and holds a License No. LPCC.0018266 (Michigan).

The current practice location address for Andra Modock is 7415 Harrison St, Westland, MI and can be reached out via phone at 734-578-6019.

Location: 7415 Harrison St, Westland, MI, 48185-2629
person
Provider Profile Details
NPI Number
1205417896
Provider Name
Andra Modock
Credential
MA,LLPC,NCE
Provider Entity Type
Individual
Gender
Female
Address
7415 Harrison St, Westland, MI, 48185-2629
Phone Number
734-578-6019
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7415 Harrison St
City
State
Zip
48185-2629
Phone Number
734-578-6019
Fax Number
person
Provider Business Mailing Address Details
Address
7415 Harrison St
City
State
Zip
48185-2629
Phone Number
734-578-6019
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPCC.0018266 (Colorado)
Definition
Definition to come...
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