Andrew Wayne Addington
Individual provider Active NPI Mental Health Counselor · Madera, CA
NPI 1295290922 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1295290922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 10535 Road 35
Madera, CA 93636-8487 - Phone
- (559) 645-0903
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Teen Ranch | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
10535 Road 35
Madera, CA 93636-8487
Mailing address
2610 W Shaw LN Ste 105
Fresno, CA 93711-2775
Phone (559) 437-1144
Other providers in Madera, CA
- Victoria Zafra Acharya
- Kaili Catherine Acosta
- Nohemi Acuna
- Breanna R Adame
- Litzy Adame
- Gwenith Jean Addington
- John Lamont Addington
- Adhc of Madera
- Jillian Anne Adney
- Advanced Internal Medicine Associates, Inc
All providers in Madera, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.