Individual
MS. ANDREA ROBERTA DEL GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 COVE RD, BROOKINGS, OR 97415-2520
(541) 469-0222
(541) 469-0228
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4401
OR
101YP2500X
Professional Counselor
LPC 1328
AZ
Other
Enumeration date
01/16/2007
Last updated
03/23/2017
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