Individual
MR. ANDREW DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, SUDP
Contact information
Practice address
PO BOX 1064, CARLSBORG, WA 98324-1064
(253) 227-1498
Mailing address
PO BOX 1064, CARLSBORG, WA 98324-1064
(253) 227-1498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60416979
WA
1041C0700X
Clinical Social Worker
114837
CA
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-62608
MT
1041C0700X
Clinical Social Worker
L13906
OR
1041C0700X
Clinical Social Worker
LCSW-43240
ID
1041C0700X
Clinical Social Worker
Primary
LW61056238
WA
Other
Enumeration date
05/13/2017
Last updated
04/02/2026
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