Individual
ASHANIECE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
917 PACIFIC AVE STE 211-214, TACOMA, WA 98402-4446
(253) 777-4772
(253) 883-3572
Mailing address
6624 S PROSPECT ST, TACOMA, WA 98409-6043
(253) 867-8512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
101YM0800X
Mental Health Counselor
Primary
—
WA
101YP2500X
Professional Counselor
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UDWW790421348
—
WA
Enumeration date
08/24/2022
Last updated
08/24/2022
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