MEDICARE: RILEY KATE ANDREWS MA, TLMHC

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	101YM0800X	Mental Health Counselor	093227	IA

General Provider Information

NPI Number	:	1083183222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RILEY KATE ANDREWS MA, TLMHC

Provider Business Mailing Address
First Line	:	690 W MADISON ST
Second Line	:
City	:	PLATTEVILLE
State	:	WI
Zip	:	53818-1631
Country	:	US
Telephone Number	:	563-552-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	1770 CENTRAL AVE
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-3607
Country	:	US
Telephone Number	:	563-265-8694
Fax Number	:	866-496-4073

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

Provider Enumeration Date	:	11/16/2018
Last Update Date	:	11/16/2018

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