Individual
ANDREA NICOLE VIRDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 MIDDLE RINCON RD, SANTA ROSA, CA 95409-3409
(707) 571-2215
Mailing address
PO BOX 2587, SANTA ROSA, CA 95405-0587
(707) 571-2215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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