Individual
MRS. ANDREA WETTERAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMHC
Contact information
Practice address
2107 16TH AVE S., SEATTLE, WA 98144
(206) 450-2719
Mailing address
2107 16TH AVE S., SEATTLE, WA 98144
(206) 450-2719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60888603
WA
1041C0700X
Clinical Social Worker
Primary
LW60906465
WA
1041C0700X
Clinical Social Worker
SC60586938
WA
Other
Enumeration date
08/19/2016
Last updated
02/16/2022
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