MEDICARE: ANDREW MCCREARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1134992340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MCCREARY

Provider Business Mailing Address
First Line	:	34453 ARBOR WAY
Second Line	:
City	:	YUCAIPA
State	:	CA
Zip	:	92399-2702
Country	:	US
Telephone Number	:	909-744-4878
Fax Number	:

Provider Business Practice Location Address
First Line	:	34453 ARBOR WAY
Second Line	:
City	:	YUCAIPA
State	:	CA
Zip	:	92399-2702
Country	:	US
Telephone Number	:	909-744-4878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	10/31/2023

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Directions to “ ANDREW MCCREARY ” Practice Location

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