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Mrs. Andrea Joyce Dattadeen, LLPC
Counselor in Grand Rapids, Michigan
NPI 1902335060

Andrea Joyce Dattadeen is a Counselor based in Holland, MI. Andrea Joyce Dattadeen practices in Grand Rapids, MI and has the professional credentials of LLPC. The NPI Number for Andrea Joyce Dattadeen is 1902335060 and holds a License No. 6401015974 (Michigan).

The current practice location address for Andrea Joyce Dattadeen is 2400 Eastern Ave Se, Grand Rapids, MI and can be reached out via phone at 616-988-3433 and via fax at 313-899-7087.

Location: 2400 Eastern Ave Se, Grand Rapids, MI, 49423-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902335060
Provider Name
Andrea Joyce Dattadeen
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
2400 Eastern Ave Se, Grand Rapids, MI, 49423-4123
Phone Number
616-988-3433
Fax Number
313-899-7087
Provider Enumeration Date
06/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401015974 01 MI STATE THERAPIST LICENSE
institution
Provider Business Practice Location Address Details
Address
2400 Eastern Ave Se
City
Grand Rapids
State
Michigan
Zip
49507-3632
Phone Number
616-988-3433
Fax Number
313-899-7087
person
Provider Business Mailing Address Details
Address
2400 Eastern Ave Se
City
Grand Rapids
State
Michigan
Zip
49507-3632
Phone Number
616-988-3433
Fax Number
313-899-7087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401015974 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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