| Doctor Name: | ANDREA M COURIE |
| NPI Number: | 1023414752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, PC |
| License Number: | C1300692 |
| Business Practice Address: | 3094 W Market St Suite 105 Fairlawn, OH - 443333626 |
| Business Phone Number: | 3306129632 |
| Business Fax Number: | |
| Mailing Address: | 202 E Bagley Rd, Suite105 BEREA |
| State: | OH |
| Postal Code: | 440172058 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1300692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |