Provider Demographics
NPI:1770344095
Name:CARO, ANDREA ELENA (LPCC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ELENA
Last Name:CARO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:ELENA
Other - Last Name:CARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:4540 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-4940
Mailing Address - Country:US
Mailing Address - Phone:763-248-8761
Mailing Address - Fax:
Practice Address - Street 1:4540 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-4940
Practice Address - Country:US
Practice Address - Phone:763-248-8761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional