Provider Demographics
NPI:1992017768
Name:MCANDREW, ANYAA T (LPC)
Entity Type:Individual
Prefix:
First Name:ANYAA
Middle Name:T
Last Name:MCANDREW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 STARSHINE RDG
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:NC
Mailing Address - Zip Code:28789-0138
Mailing Address - Country:US
Mailing Address - Phone:828-788-0773
Mailing Address - Fax:
Practice Address - Street 1:38 STARSHINE RDG
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:NC
Practice Address - Zip Code:28789-0138
Practice Address - Country:US
Practice Address - Phone:828-788-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional