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General NPI Number Information
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NPI Number | 1326389735
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Entity Type | Individual
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Provider Name | LISA CAROLYN ANDREWS LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2013
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1710 E 12 MILE RD STE 101
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City | ROYAL OAK
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State | MI
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Zip | 48073-4200
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Country | US
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Telephone | 248-798-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 N ALTADENA AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-3637
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Country | US
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Telephone | 248-761-1407
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401013368
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401013368
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 113165
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401013368
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License Number State | MI
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