Provider Demographics
NPI:1326127127
Name:KOLGIN, ANDREA (LCPC, LADC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:KOLGIN
Suffix:
Gender:F
Credentials:LCPC, LADC, NCC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:KOLGIN
Other - Last Name:SINCLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LADC, NCC
Mailing Address - Street 1:6 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3305
Mailing Address - Country:US
Mailing Address - Phone:603-534-4355
Mailing Address - Fax:
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-534-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health