Doctor Name: | MR. ANDRAE L DOBBINS |
NPI Number: | 1619337474 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PLPC, M.ED |
License Number: | 2015010117 |
Business Practice Address: | 4390 Lindell Blvd Suite 200 Saint Louis, MO - 631082735 |
Business Phone Number: | 3149560547 |
Business Fax Number: | |
Mailing Address: | 3708 Cranberry Ct, FLORISSANT |
State: | MO |
Postal Code: | 630336625 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/07/2016 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2015010117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |