Individual
MR. CODY REGINALD ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MERRIAM ST, DAVENPORT, WA 99122-8654
(509) 725-3001
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LH61488465
WA
Other
Enumeration date
03/30/2021
Last updated
11/07/2024
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