Individual
MRS. ANDREA DAWN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
130 W STEVE OWENS BLVD, MIAMI, OK 74354-7629
(918) 542-2845
(918) 542-2848
Mailing address
411 EASTGATE BLVD, MIAMI, OK 74354-7316
(918) 540-3680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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