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General NPI Number Information
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NPI Number | 1104750272
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Entity Type | Individual
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Provider Name | ANDREA CLAREY CADC, BS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 20 CENTERPOINTE DR
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City | LA PALMA
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State | CA
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Zip | 90623-2505
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Country | US
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Telephone | 206-229-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 E 1ST ST APT 411
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City | LONG BEACH
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State | CA
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Zip | 90803-2738
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Country | US
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Telephone | 206-229-5186
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A061380622
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License Number State | CA
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