Provider Demographics
NPI:1417116690
Name:CARTWRIGHT, ANDREA JEANNE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JEANNE
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-7144
Mailing Address - Country:US
Mailing Address - Phone:720-352-2986
Mailing Address - Fax:303-702-0779
Practice Address - Street 1:1285 S FORDHAM ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-4623
Practice Address - Country:US
Practice Address - Phone:720-352-2986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional