Individual
KARINA ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
765 POST RD STE 2, FAIRFIELD, CT 06824-6246
(203) 581-0053
Mailing address
1468 BURR ST, FAIRFIELD, CT 06824-1892
(203) 581-0053
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
933
CT
101YP2500X
Professional Counselor
Primary
2155
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
12/10/2010
Last updated
06/20/2020
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