Individual
LORI LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N MORAIN ST, KENNEWICK, WA 99336-2667
(509) 735-6900
(509) 735-6914
Mailing address
415 N MORAIN ST, KENNEWICK, WA 99336-2667
(509) 735-6900
(509) 735-6914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61113406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO61113406
—
WA
Enumeration date
03/02/2021
Last updated
03/02/2021
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