Individual
MARK ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA CADC-1
Contact information
Practice address
94235 MOORE ST, GOLD BEACH, OR 97444-9699
(541) 247-4082
(541) 247-4082
Mailing address
29821 COLVIN ST., GOLD BEACH, OR 97444
(541) 247-4082
(541) 247-4082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-06-04
OR
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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