Provider Demographics
NPI:1033948955
Name:FROMM, ANDREW (LPCC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:FROMM
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4947 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2415
Mailing Address - Country:US
Mailing Address - Phone:816-304-8001
Mailing Address - Fax:
Practice Address - Street 1:8120 S HOLLY ST STE 204
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4007
Practice Address - Country:US
Practice Address - Phone:720-588-2319
Practice Address - Fax:303-379-5568
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health