Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E.2001898 | OH |
NPI | 1003308750 |
---|---|
Provider Name | Alexis S Mcandrew |
First Address | Youngstown, OH 44509-1227 |
Second Address | Youngstown, OH 44509-1227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2018 |
Last Update Date | 21/09/2020 |