Provider Demographics
NPI:1093985632
Name:FRANKLIN, ANDREA ALETHA (MSW, LICDC)
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:ALETHA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MSW, LICDC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:ALETHA
Other - Last Name:FRANKLIN (ALFORD)
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:122 LANGLEY ROAD NORTH
Mailing Address - Street 2:SUITE B ANNE ARUNDEL COUNTY HEALTH DEPARTMENT
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060
Mailing Address - Country:US
Mailing Address - Phone:410-222-0100
Mailing Address - Fax:410-222-0116
Practice Address - Street 1:9083 MENTOR AVE STE B
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6462
Practice Address - Country:US
Practice Address - Phone:440-255-0678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161523101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)