Andrews, Jerry
Andrews, Jerry is an individual health care provider with primary practice located at 17100 N 67Th Ave 400, Glendale AZ 85308-3605. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Andrews, Jerry can be contacted via phone (602) 938-3323.Contact Information
Primary practice address
17100 N 67Th Ave 400
Glendale AZ 85308-3605
Phone: (602) 938-3323
Fax: (602) 938-1626
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT-10178 | Arizona |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10135 | Arizona |
Profile Details
NPI number | 1538238175 |
---|---|
LBN Legal business name | Andrews, Jerry |
Credentials | LMFT, LISAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Mar 27th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538238175 | NPPES |
Arizona | Other | LISAC-10135 | THERAPIST |
Arizona | Other | LMFT-10178 | THERAPIST |
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