Provider Demographics
NPI:1306185236
Name:KLASS, ANDRIE (MS, CGC)
Entity Type:Individual
Prefix:
First Name:ANDRIE
Middle Name:
Last Name:KLASS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 BUSKIRK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-6900
Mailing Address - Country:US
Mailing Address - Phone:925-266-5777
Mailing Address - Fax:415-534-5494
Practice Address - Street 1:2950 BUSKIRK AVE STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-6900
Practice Address - Country:US
Practice Address - Phone:925-266-5777
Practice Address - Fax:415-534-5494
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000456170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
16171OtherAMERICAN BOARD OF GENETIC COUNSELING
CAGC000456OtherCALIFORNIA DEPARTMENT OF PUBLIC HEALTH