Provider Demographics
NPI:1164777801
Name:ANDRUS, DANNA GENE I (LMFT)
Entity Type:Individual
Prefix:DR
First Name:DANNA
Middle Name:GENE
Last Name:ANDRUS
Suffix:I
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2155
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70073-2155
Mailing Address - Country:US
Mailing Address - Phone:504-416-5256
Mailing Address - Fax:504-341-6650
Practice Address - Street 1:3621 AMES BLVD
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-5710
Practice Address - Country:US
Practice Address - Phone:504-416-5256
Practice Address - Fax:504-341-6650
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health