Doctor Name: | MS. CAROLYNE S ANDERSOHN |
NPI Number: | 1720274715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC MA ATC RTC |
License Number: | 6401010304 |
Business Practice Address: | 1225 S 11th St Niles, MI - 49120 |
Business Phone Number: | 2696847741 |
Business Fax Number: | 2696843641 |
Mailing Address: | 1225 S 11th St, NILES |
State: | MI |
Postal Code: | 49120 |
Phone Number: | 2696847741 |
Fax Number: | 2696843641 |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 09/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401010304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |