Doctor Name: | MS. STEPHANIE A. ANDRE |
NPI Number: | 1073781969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 26878 |
Business Practice Address: | 5342 Dudley Blvd # 98 Mcclellan, CA - 956521012 |
Business Phone Number: | 9162403044 |
Business Fax Number: | |
Mailing Address: | 5828 Ford Rd, ROCKLIN |
State: | CA |
Postal Code: | 957654302 |
Phone Number: | 9164126787 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 26878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |