Provider Demographics
NPI:1619682887
Name:FARADAY, ANDREA JANINE (LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JANINE
Last Name:FARADAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4614 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-3157
Mailing Address - Country:US
Mailing Address - Phone:415-328-4647
Mailing Address - Fax:
Practice Address - Street 1:4614 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-3157
Practice Address - Country:US
Practice Address - Phone:415-328-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist