ANDREA KAMILLE CONANAN MS
NPI 1124586813
Counselor - Mental Health in San Diego, CA

Active since March 12, 2019
3130 5TH AVE # 3, SAN DIEGO, CA 92103(858) 707-5301 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Feb 17, 2023, Feb 6, 2023 and 1 more (4 updates tracked since 2019).

About Andrea Kamille Conanan Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA KAMILLE CONANAN MS (NPI 1124586813) is an individual mental health provider in San Diego, California, licensed in California (13059) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1124586813
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA KAMILLE CONANANCredential: MS
Location Address3130 5TH AVE # 3San Diego, CA 92103-5839
Mailing Address2307 Fenton Pkwy Ste 107-257San Diego, CA 92108-4746 · (858) 707-5301
Sole ProprietorYes
Enumeration DateMarch 12, 2019
Last NPPES UpdateJune 27, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1124586813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in CA · 13059 Licensed in CA · 5241
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 13059 (CA)
3130 5TH AVE # 3, San Diego, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Conanan's NPI number?

The NPI number for Andrea Conanan is 1124586813. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Andrea Conanan located?

Andrea Conanan practices at 3130 5th Ave # 3, San Diego, CA 92103. The listed phone number is (858) 707-5301.

What is Andrea Conanan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrea Conanan was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.