MEDICARE: ANDREW KOHL

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1457899627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW KOHL

Provider Business Mailing Address
First Line	:	1011 BINGHAM ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1101
Country	:	US
Telephone Number	:	412-427-2834
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 EMERYVILLE DR STE 230
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	724-609-5002
Fax Number	:

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

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	01/07/2025

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