Provider Demographics
NPI:1083183222
Name:ANDREWS, RILEY KATE (MA, TLMHC)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:KATE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-1631
Mailing Address - Country:US
Mailing Address - Phone:563-552-8333
Mailing Address - Fax:
Practice Address - Street 1:1770 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3607
Practice Address - Country:US
Practice Address - Phone:563-265-8694
Practice Address - Fax:866-496-4073
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA093227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health