Individual
ANDREW WEISSKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3813
(707) 571-3799
Mailing address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3813
(707) 571-3799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS20126
STATE LICENSE NUMBER
CA
Enumeration date
07/31/2006
Last updated
07/09/2007
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