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Individual

TINA MARIE ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMAC

Contact information

Practice address
1500 GRAPHIC ARTS ROAD, EMPORIA, KS 66801
(620) 204-6840
Mailing address
1500 GRAPHIC ARTS ROAD, EMPORIA, KS 66801
(620) 204-6840

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMAC348
KS
101YP2500X
Professional Counselor
Primary
3161
KS

Other

Enumeration date
02/26/2018
Last updated
09/25/2018
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