| Doctor Name: | MS. ANDREA ROBERTA DEL GRANDE |
| NPI Number: | 1013068840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC 1328 |
| Business Practice Address: | 819 N. Navajo Pl #4 Page, AZ - 86040 |
| Business Phone Number: | 9286452744 |
| Business Fax Number: | 9286452745 |
| Mailing Address: | 553 W Mirage Loop, CASA GRANDE |
| State: | AZ |
| Postal Code: | 852226132 |
| Phone Number: | 9282212878 |
| Fax Number: | 9286452745 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC 1328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |