Provider Demographics
NPI:1437801826
Name:ANDREWS, ANDREA (MA, MS, CSAC-A)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, MS, CSAC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 MAGIC LEAF RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2529
Mailing Address - Country:US
Mailing Address - Phone:703-946-3933
Mailing Address - Fax:
Practice Address - Street 1:8355 MAGIC LEAF RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-2529
Practice Address - Country:US
Practice Address - Phone:703-946-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014536101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor