Provider Demographics
NPI:1306034475
Name:ANDREWS, LUCRETIA DIONN (MS; LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LUCRETIA
Middle Name:DIONN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS; LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 BEMISS RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1936
Mailing Address - Country:US
Mailing Address - Phone:229-333-2351
Mailing Address - Fax:229-333-2353
Practice Address - Street 1:2405 BEMISS RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1936
Practice Address - Country:US
Practice Address - Phone:229-333-2351
Practice Address - Fax:229-333-2353
Is Sole Proprietor?:No
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALMFT001017106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist