Individual
MARK OWEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1461
Mailing address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003031
WA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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