Andrea, Mikaela Rose

Andrea, Mikaela Rose is an individual health care provider with primary practice located at 602 Michigan Ave , Holland MI 49423-4918. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andrea, Mikaela Rose can be contacted via phone (616) 394-3507.

Contact Information

Primary practice address
602 Michigan Ave Holland MI 49423-4918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801092475 Michigan

Profile Details

NPI number 1982907507
LBN Legal business name Andrea, Mikaela Rose
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2010
Last updated Aug 29th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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