Provider Demographics
NPI:1831385418
Name:HILL, ANDREA K (LMFT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:K
Last Name:HILL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 ANDANADA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2405
Mailing Address - Country:US
Mailing Address - Phone:505-412-2555
Mailing Address - Fax:
Practice Address - Street 1:2200 DIAMOND DR
Practice Address - Street 2:FIRST BAPTIST CHURCH
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-1739
Practice Address - Country:US
Practice Address - Phone:505-412-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMF-0162731106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist