Individual
NOAH ETHAN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
2817 WHEATON WAY STE 205, BREMERTON, WA 98310-3440
(360) 373-0155
(360) 373-0258
Mailing address
2817 WHEATON WAY STE 205, BREMERTON, WA 98310-3440
(360) 373-0155
(360) 373-0258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61305566
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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