Individual provider · Type 1 NPI
Andrea McGovern, MS MFT
Mental Health Counselor · Malibu, CA
NPI number
1174789002
Active
Practice location
5859 Deerhead Rd
Malibu, CA 90265-3716
Mailing address
28240 Agoura Rd, Suite 304
Agoura, CA 91301-2485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MFC 38490 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1174789002
Andrea McGovern, MS MFT's National Provider Identifier is 1174789002, issued on Jul 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malibu, CA. The record was last updated on Jul 30, 2008.