Provider Demographics
NPI:1003679283
Name:ANDREWS, CECILIA (MED, LPC)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1092 SHADOW GLENN DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2255
Mailing Address - Country:US
Mailing Address - Phone:936-524-6095
Mailing Address - Fax:
Practice Address - Street 1:1092 SHADOW GLENN DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2255
Practice Address - Country:US
Practice Address - Phone:936-524-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional