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Individual

MS. DANICA ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCCJS #16713

Contact information

Practice address
7638 58TH AVENUE NE, NORTHSTAR LIFE SERVICES, OLYMPIA, WA 98516-9307
(360) 455-4701
Mailing address
7638 58TH AVE NE, OLYMPIA, WA 98516-9307
(360) 455-4701

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00027143
WA

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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