MEDICARE: HANNAH RAUP ANDREYCHIK

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	:	1528636578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RAUP ANDREYCHIK

Provider Business Mailing Address
First Line	:	1180 COLUMBIA AVE STE 203
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 COLUMBIA AVE STE 203
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2890
Country	:	US
Telephone Number	:	803-407-0088
Fax Number	:

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

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	05/03/2023

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Directions to “ HANNAH RAUP ANDREYCHIK ” Practice Location

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