Provider Demographics
NPI:1417450131
Name:LINDQUIST, ANDREA HELEN (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:HELEN
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:HELEN
Other - Last Name:VANDORPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17591 CROWN CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649
Mailing Address - Country:US
Mailing Address - Phone:714-330-8070
Mailing Address - Fax:
Practice Address - Street 1:16531 BOLSA CHICA ST
Practice Address - Street 2:STE 345
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3595
Practice Address - Country:US
Practice Address - Phone:714-593-9630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW19823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health