Doctor Name: | MS. ANDREA LYNNE TEMPLETON |
NPI Number: | 1053672774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IMF |
License Number: | 70852 |
Business Practice Address: | 40 E Minarets Ave Pinedale, CA - 936501239 |
Business Phone Number: | 5594360482 |
Business Fax Number: | |
Mailing Address: | 40 E Minarets Ave, PINEDALE |
State: | CA |
Postal Code: | 936501239 |
Phone Number: | 5594360482 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 70852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |