Provider Demographics
NPI:1801934617
Name:JOSEPH, ANDREW (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:MR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:1320 19TH ST NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1610
Mailing Address - Country:US
Mailing Address - Phone:202-280-5003
Mailing Address - Fax:
Practice Address - Street 1:1320 19TH ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1610
Practice Address - Country:US
Practice Address - Phone:202-280-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40825106H00000X
DCLMFT000022106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist