Individual
ANDREA TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 NW PEACOCK BLVD, STE 102, PORT ST LUCIE, FL 34986-2349
(772) 999-1438
Mailing address
260 NW PEACOCK BLVD STE 102, PORT ST LUCIE, FL 34986-2349
(772) 999-1438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13888
FL
Other
Enumeration date
12/23/2015
Last updated
08/04/2025
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