Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LC4322 | MD |
NPI | 1003189721 |
---|---|
Provider Name | Ms. Andrea R Kane Frank |
First Address | Stevensville, MD 21666-2177 |
Second Address | Stevensville, MD 21666-2177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2012 |
Last Update Date | 10/02/2012 |