| NPI | 1629288899 |
|---|---|
| Professional Name | ANDREA LASHAWN TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3171) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 354) |
| 106H00000X Marriage & Family Therapist (Licence: LA 705) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-10 |