Provider Demographics
NPI:1346672946
Name:ANDREWS, JANICE (ACADC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:ACADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-0403
Mailing Address - Country:US
Mailing Address - Phone:208-284-8895
Mailing Address - Fax:
Practice Address - Street 1:8620 W EMERALD ST STE 150
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-4839
Practice Address - Country:US
Practice Address - Phone:208-672-2900
Practice Address - Fax:020-867-2291
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID10144101YA0400X
ID2675104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker