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Individual

MS. ANDREA SUSAN WOLBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CC

Contact information

Practice address
1933 4TH ST, BREMERTON, WA 98337
(360) 479-4959
(360) 478-0917
Mailing address
1933 4TH ST, BREMERTON, WA 98337
(360) 479-4959
(360) 478-0917

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60006973
WA
101YM0800X
Mental Health Counselor
Primary
CL60166092
WA

Other

Enumeration date
11/09/2019
Last updated
11/09/2019
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