Individual
ANDREA SUSAN HANSEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LSW
Contact information
Practice address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-7057
Mailing address
307 MARRO DRIVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-7057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC1679
WV
104100000X
Social Worker
Primary
SWAP00942468
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023397001
—
WV
Enumeration date
05/16/2007
Last updated
09/11/2025
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