| Doctor Name: | JOAN ANDRES |
| NPI Number: | 1013373463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 00693 |
| Business Practice Address: | 15 1st Ave Nw Ste B Le Mars, IA - 510313555 |
| Business Phone Number: | 7123600399 |
| Business Fax Number: | 7125468929 |
| Mailing Address: | 15 B 1st Avenue N.w., LE MARS |
| State: | IA |
| Postal Code: | 51031 |
| Phone Number: | 7123600399 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2016 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00693 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |