Provider Demographics
NPI:1164024485
Name:ANDREWS, MONIQUE (LPC, CDCII)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPC, CDCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18913 MOUNTAIN POINT DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8586
Mailing Address - Country:US
Mailing Address - Phone:907-978-8588
Mailing Address - Fax:
Practice Address - Street 1:2804 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-3300
Practice Address - Country:US
Practice Address - Phone:907-978-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK166734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional