Individual
JONI ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1430 COLLIER ST, BLDG. A, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Mailing address
1631 E 2ND ST, BLDG. A, AUSTIN, TX 78702-4490
(512) 804-3384
(512) 472-5857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12390
DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
02/12/2014
Last updated
02/12/2014
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