Individual provider · Type 1 NPI
Michael Andrade
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1336290485
Active
Practice location
7000-B South Center Dr
Clearlake, CA 95422
Mailing address
PO Box 1560
Clearlake, CA 95422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RI-A0612181235 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336290485
Michael Andrade's National Provider Identifier is 1336290485, issued on Jan 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Jul 8, 2007.