Individual
ANGELICA DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CMHS
Contact information
Practice address
12835 BEL RED RD, BLDG 100, STE 145, BELLEVUE, WA 98005-2631
(425) 460-7114
(425) 460-7115
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60190247
WA
101YM0800X
Mental Health Counselor
Primary
LH 60510418
WA
Other
Enumeration date
06/28/2011
Last updated
09/17/2015
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