Provider Demographics
NPI:1770392664
Name:TRAVERS, ANDREA ELIZABETH (LPC)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:ELIZABETH
Last Name:TRAVERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WARSEN AVE
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-4812
Mailing Address - Country:US
Mailing Address - Phone:636-795-3449
Mailing Address - Fax:
Practice Address - Street 1:11 WARSEN AVE
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-4812
Practice Address - Country:US
Practice Address - Phone:636-795-3449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional