Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4704 | CA |
NPI | 1003176728 |
---|---|
Provider Name | Andrea S Voehl |
First Address | San Clemente, CA 92672 |
Second Address | Vista, CA 92084-5424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 24/04/2018 |