Individual
MRS. CONCEPCION M ANDRIJESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
602 STRADA CIR, SUITE 112, MANSFIELD, TX 76063-3201
(682) 203-7096
Mailing address
602 STRADA CIR, 112, MANSFIELD, TX 76063-3201
(682) 203-7096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17140
TX
101YM0800X
Mental Health Counselor
17140
TX
101YP2500X
Professional Counselor
Primary
17140
TX
Other
Enumeration date
07/14/2009
Last updated
08/09/2013
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