Individual
ANDRIN BERTILLE KOUAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 604-6492
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 604-6492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/18/2018
Last updated
07/15/2021
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