Individual
MR. ANDY MARK LEXOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1601 E 4TH PLAIN, BUILDING #17, VANCOUVER, WA 98661-3753
(360) 397-8246
(360) 397-8230
Mailing address
1601 E 4TH PLAIN, BUILDING #17, VANCOUVER, WA 98661-3753
(360) 397-8246
(360) 397-8230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00006315
WA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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