Doctor Name: | MARTHA M. ANDRADE |
NPI Number: | 1013143866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 249 W 8th Ave Chico, CA - 959263241 |
Business Phone Number: | 5305143194 |
Business Fax Number: | |
Mailing Address: | 249 W 8th Ave, CHICO |
State: | CA |
Postal Code: | 959263241 |
Phone Number: | 5305143194 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 11/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |