Provider Demographics
NPI:1811222649
Name:DARR, ANDREA L (MSED, LMHP, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:DARR
Suffix:
Gender:F
Credentials:MSED, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 4TH STREET
Mailing Address - Street 2:SUITE 32
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2884
Mailing Address - Country:US
Mailing Address - Phone:308-234-6029
Mailing Address - Fax:
Practice Address - Street 1:4111 4TH STREET
Practice Address - Street 2:SUITE 32
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2884
Practice Address - Country:US
Practice Address - Phone:308-234-6029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health