Individual
MS. BETH ANN ANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0003693
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713054
MOUNTAIN STATE BCBS
WV
01
—
278713000
MAGELLAN HEALTH SERVICES
OH
01
—
418532
COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION
PA
01
—
469571
VALUE OPTIONS
—
01
—
7205001
AETNA
—
01
—
Y570312A
HEALTH PLAN OF THE UPPER
OH
Enumeration date
08/30/2006
Last updated
04/08/2015
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