Provider Demographics
NPI:1700474459
Name:VALIN, ANDREA J (CADC,AS)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:J
Last Name:VALIN
Suffix:
Gender:F
Credentials:CADC,AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-5438
Mailing Address - Country:US
Mailing Address - Phone:978-987-4877
Mailing Address - Fax:
Practice Address - Street 1:7 ALBERT ST
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-5438
Practice Address - Country:US
Practice Address - Phone:978-987-4877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1559-AD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty