Individual
ANDREA LACEY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, AAC
Contact information
Practice address
3805 108TH AVE NE STE 204, BELLEVUE, WA 98004-7613
(425) 242-1713
Mailing address
3805 108TH AVE NE STE 204, BELLEVUE, WA 98004-7613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
WV
Enumeration date
10/02/2018
Last updated
10/02/2018
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