Individual
MR. DAVID LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
17880 147TH ST SE, MONROE, WA 98272-1014
(360) 794-1405
(360) 794-1493
Mailing address
PO BOX 646, MONROE, WA 98272-0646
(360) 794-1405
(360) 794-1493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00003963
WA
101YM0800X
Mental Health Counselor
Primary
LH00005921
WA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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