Individual
ANDREA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(425) 347-5121
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(425) 347-5121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60115089
WA
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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