Provider Demographics
NPI:1730514324
Name:HIGH, ANDREA BARSS (CMHC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:BARSS
Last Name:HIGH
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1583 CRESTMONT WAY
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-9410
Mailing Address - Country:US
Mailing Address - Phone:801-815-5214
Mailing Address - Fax:
Practice Address - Street 1:4043 RIVERDALE RD # 1081
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-1717
Practice Address - Country:US
Practice Address - Phone:801-513-1049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8166690-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health