Individual
AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LMP
Contact information
Practice address
12506 18TH ST NE, LAKE STEVENS, WA 98258
(425) 334-2154
(425) 377-1880
Mailing address
11910 28TH PL NE, LAKE STEVENS, WA 98258-9158
(425) 210-4019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00049330
WA
174400000X
Specialist
Primary
MA00023037
WA
Other
Enumeration date
08/29/2006
Last updated
10/11/2007
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