Provider Demographics
NPI:1649720319
Name:FORAN, ANDREA J (LMFT, LCPC, LAC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:J
Last Name:FORAN
Suffix:
Gender:F
Credentials:LMFT, LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SOUTH AVE W STE B
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8011
Mailing Address - Country:US
Mailing Address - Phone:406-540-4347
Mailing Address - Fax:406-258-0614
Practice Address - Street 1:700 SOUTH AVE W STE B
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8011
Practice Address - Country:US
Practice Address - Phone:406-540-2846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60088110101YA0400X
MTBBH-LAC-LIC-14337101YA0400X
MTBBH-PCLC--LIC-33007101YP2500X
MTBBH-LCPC-LIC-42830101YP2500X
MTBBH-LMFT-LIC-43165106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional