Individual
ANDREW KEVIN MANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6530 PLACID WAY, DAWSONVILLE, GA 30534-4375
(845) 536-2211
Mailing address
6530 PLACID WAY, DAWSONVILLE, GA 30534-4375
(845) 536-2211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1497373476
GA
103K00000X
Behavior Analyst
Primary
—
GA
Other
Enumeration date
07/07/2020
Last updated
03/06/2026
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