Provider Demographics
NPI:1407148869
Name:ANDREWS, JOSHUA (LPCC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1653
Mailing Address - Country:US
Mailing Address - Phone:567-328-0656
Mailing Address - Fax:
Practice Address - Street 1:199 BROAD ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1653
Practice Address - Country:US
Practice Address - Phone:567-328-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2023-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0701078101Y00000X, 101YM0800X
OHE.0701078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional