Provider Demographics
NPI:1356376271
Name:DUCHESNEAU, ANDRE PIERRETTE (MFT, PHD)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:PIERRETTE
Last Name:DUCHESNEAU
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Gender:F
Credentials:MFT, PHD
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Mailing Address - Street 1:138 N HAMILTON DR
Mailing Address - Street 2:#9
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2232
Mailing Address - Country:US
Mailing Address - Phone:323-651-5834
Mailing Address - Fax:310-556-1402
Practice Address - Street 1:420 S BEVERLY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4426
Practice Address - Country:US
Practice Address - Phone:310-284-4881
Practice Address - Fax:310-556-1402
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAMFT 28378106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist