Provider Demographics
NPI:1104065697
Name:ANDRADE, ALLISON LISA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LISA
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LISA
Other - Last Name:HOWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:88 WASHINGTON STREET
Mailing Address - Street 2:APT 10
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-8120
Mailing Address - Country:US
Mailing Address - Phone:508-828-7105
Mailing Address - Fax:
Practice Address - Street 1:88 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-828-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health