Organization
ANDREA BROADWATER COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BROADWATER MA LPC LMHC (MANAGER AND OWNER)
(734) 210-0308
Entity
Organization
Contact information
Practice address
4518 CASHMERE DR NE, LACEY, WA 98516-1356
(734) 210-0308
Mailing address
4518 CASHMERE DR NE, LACEY, WA 98516-1356
(734) 210-0308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/01/2019
Last updated
09/23/2024
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