Provider Demographics
NPI:1356726889
Name:ENGEL, ANDREA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4098
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-0098
Mailing Address - Country:US
Mailing Address - Phone:518-932-1236
Mailing Address - Fax:
Practice Address - Street 1:16 W NOTRE DAME ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2872
Practice Address - Country:US
Practice Address - Phone:518-932-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist