Provider Information for 1285376517
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ANDREA A PODSAID LPC, NCC
Sex: Female
NPI: 1285376517
Last Updated: 2022-04-07
Certification Date: 2022-04-07
Certification Date: 2022-04-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285376517 | ||||||||
| Enumeration Date | 2022-04-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1691 COASTER RD LAKE CITY, MI 49651-8751 United States Phone: 231-649-4703 | Fax: | ||||||||
| Primary Practice Address | 1691 COASTER RD LAKE CITY, MI 49651-8751 United States Phone: 231-649-4703 | Fax: | ||||||||
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