Individual
LARRY J ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
1102 BECK AVE, CODY, WY 82414-3624
(307) 587-8889
Mailing address
18 JOHN WAYNE LN, POWELL, WY 82435-9469
(307) 272-8880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC352
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303854
BCBS PROV #
—
Enumeration date
02/24/2007
Last updated
07/08/2007
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