Provider Demographics
NPI:1457537193
Name:PRESNELL, ANDREW HARRISON (MA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:HARRISON
Last Name:PRESNELL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-2734
Mailing Address - Country:US
Mailing Address - Phone:205-310-5547
Mailing Address - Fax:
Practice Address - Street 1:300 TWINING ST
Practice Address - Street 2:BLDG 760
Practice Address - City:MAXWELL AFB
Practice Address - State:AL
Practice Address - Zip Code:36112-6027
Practice Address - Country:US
Practice Address - Phone:334-953-5143
Practice Address - Fax:334-953-8296
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor