Provider Demographics
NPI:1134827520
Name:HUNSAKER, ANDREA JEAN (LLPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:JEAN
Last Name:HUNSAKER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 MELA VIA CT NE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8169
Mailing Address - Country:US
Mailing Address - Phone:616-430-1605
Mailing Address - Fax:
Practice Address - Street 1:4867 E BELTLINE AVE NE
Practice Address - Street 2:BUILDING #1 LOWER LEVEL
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525
Practice Address - Country:US
Practice Address - Phone:616-676-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional