Provider Demographics
NPI:1356160014
Name:ROW, ANDREA R (MHC-LP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:R
Last Name:ROW
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WORTHINGTON LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-9225
Mailing Address - Country:US
Mailing Address - Phone:716-472-3610
Mailing Address - Fax:
Practice Address - Street 1:42 WORTHINGTON LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-9225
Practice Address - Country:US
Practice Address - Phone:716-472-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-P131264-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health