Individual
ANTONIO R ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 W GLENTANA ST # 3, COVINA, CA 91722-3617
(626) 918-7636
Mailing address
1486 N FAIRVALLEY AVE, COVINA, CA 91722-2031
(626) 918-7636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/18/2008
Last updated
02/09/2009
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