Provider Demographics
NPI:1538425095
Name:ANDAYA, GEMMA (MS, NCC, LCADC, LCPC)
Entity type:Individual
Prefix:
First Name:GEMMA
Middle Name:
Last Name:ANDAYA
Suffix:
Gender:F
Credentials:MS, NCC, LCADC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8879 W FLAMINGO RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147
Mailing Address - Country:US
Mailing Address - Phone:725-333-2643
Mailing Address - Fax:702-952-5417
Practice Address - Street 1:8879 W FLAMINGO RD
Practice Address - Street 2:STE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147
Practice Address - Country:US
Practice Address - Phone:725-333-2643
Practice Address - Fax:702-952-5417
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00448-LC101YA0400X
NV0048-LC101Y00000X
NVCI0317101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)