Individual
MS. CAROLYN ILENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4301 S PINE ST, SUITE #501, TACOMA, WA 98409-7264
(253) 209-4578
Mailing address
1306 S MONROE ST, TACOMA, WA 98405-1447
(253) 209-4578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH0011245
WA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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