Provider Demographics
NPI:1205069705
Name:MCANDREWS, MARY ANN (LPC)
Entity type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:
Last Name:MCANDREWS
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 1:1776 S JACKSON ST
Mailing Address - Street 2:SUITE 1008
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3801
Mailing Address - Country:US
Mailing Address - Phone:720-365-5081
Mailing Address - Fax:186-663-5041
Practice Address - Street 1:1776 S JACKSON ST
Practice Address - Street 2:SUITE 1008
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:720-365-5081
Practice Address - Fax:186-663-5041
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-5497101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health