Provider Demographics
NPI:1235428210
Name:MOTCH, ANDREW MACBAIN (CRIMINOLOGY BA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:MACBAIN
Last Name:MOTCH
Suffix:
Gender:M
Credentials:CRIMINOLOGY BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9071 E MISSISSIPPI AVE
Mailing Address - Street 2:APT: 7D
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2004
Mailing Address - Country:US
Mailing Address - Phone:612-203-1954
Mailing Address - Fax:
Practice Address - Street 1:9071 E MISSISSIPPI AVE
Practice Address - Street 2:APT: 7D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2004
Practice Address - Country:US
Practice Address - Phone:612-203-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor