Provider Demographics
NPI:1821301250
Name:CAIRELLA, ANDREA HEATHER (MC, LPC)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:HEATHER
Last Name:CAIRELLA
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE D5
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3681
Mailing Address - Country:US
Mailing Address - Phone:602-882-9982
Mailing Address - Fax:
Practice Address - Street 1:793 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE D5
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3681
Practice Address - Country:US
Practice Address - Phone:602-882-9982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13498101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health