Doctor Name: | MRS. ANDREA LYNN SHEA |
NPI Number: | 1053495085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701003781 |
Business Practice Address: | 7969 Ashton Ave Manassas, VA - 201092885 |
Business Phone Number: | 7037927800 |
Business Fax Number: | 7037925699 |
Mailing Address: | 7969 Ashton Ave, MANASSAS |
State: | VA |
Postal Code: | 201092885 |
Phone Number: | 7037927800 |
Fax Number: | 7037925699 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701003781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |