Provider Demographics
NPI:1689963878
Name:ISOLA, ANDREW JOSEPH (LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOSEPH
Last Name:ISOLA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:ISOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 993761
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96099-3761
Mailing Address - Country:US
Mailing Address - Phone:530-604-7465
Mailing Address - Fax:
Practice Address - Street 1:1246 EAST ST
Practice Address - Street 2:SUITE #7
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0836
Practice Address - Country:US
Practice Address - Phone:530-604-7465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49775106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist