Doctor Name: | ANDREA MCCLUSKEY |
NPI Number: | 1285992495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | LMSW-13320 |
Business Practice Address: | 18444 N 25th Ave Suite 420 Phoenix, AZ - 850231261 |
Business Phone Number: | 6024999952 |
Business Fax Number: | 6023962300 |
Mailing Address: | 18444 N 25th Ave, Suite 420 PHOENIX |
State: | AZ |
Postal Code: | 850231261 |
Phone Number: | 6024999952 |
Fax Number: | 6023962300 |
NPI Enumeration Date: | 04/25/2012 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMSW-13320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |