Individual
ANDREA LOUISE BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 487-1330
Mailing address
117 MONUMENT AVE, MALVERN, PA 19355-2626
(267) 577-9939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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