Errol David Andrus, LCDC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Orange, TX
NPI 1760079909 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1760079909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10326 (TX)
- Practice address
- 4303 Tejas Pkwy
Orange, TX 77632-1358 - Phone
- (409) 883-7074
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10326 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10326 | TX | Yes |
Addresses
Primary practice location
4303 Tejas Pkwy
Orange, TX 77632-1358
Mailing address
2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000
Other providers in Orange, TX
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- Yuri Jewell Amons
- Amy Townsend MD PA
- Jordan Ellis Anderson
- Anesthesia Services of Southeast Texas
- Taylor Angelle
- Dillon Anthony II
- Halee Marie Anthony
- Apex Eye Center PLLC
All providers in Orange, TX · Addiction (Substance Use Disorder) Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. 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.