Organization
ANDREA BROADWATER COUNSELING AND CONSULTING, LLC
Active
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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