National Provider Identifier
Andrew John Park, MAMHC
Andrew John Park, MAMHC is listed in the NPPES registry with a primary specialty of Counselor in Canandaigua, NY and a listed phone number of (585) 396-4190.
Profile Overview
- NPI
- 1386975399
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- January 15, 2010
- Last Updated
- January 15, 2010
Practice Location
- 3019 County Complex Dr.
- Canandaigua, NY 14424
Phone: (585) 396-4190
Mailing Address
- 3019 County Complex Dr
- Canandaigua, NY 14424-9505
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1386975399
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Andrew
- Middle Name
- John
- Name Prefix
- Mr.
- Credential
- MAMHC
- Mailing Street Address
- 3019 County Complex Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9505
- Mailing Country
- US
- Mailing Phone
- (585) 396-4190
- Mailing Fax
- (585) 383-2916
- Practice Street Address
- 3019 County Complex Dr.
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 396-4190
- Practice Fax
- (585) 393-2916
- Enumeration Date
- January 15, 2010
- Last Updated
- January 15, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)