Provider Demographics
NPI:1639739071
Name:ANDREWS, CIERA DASHAWN (ADT)
Entity Type:Individual
Prefix:
First Name:CIERA
Middle Name:DASHAWN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:ADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 SEAMON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1160
Mailing Address - Country:US
Mailing Address - Phone:202-981-0925
Mailing Address - Fax:
Practice Address - Street 1:2857 SEAMON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-1160
Practice Address - Country:US
Practice Address - Phone:202-981-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)