Individual
STEVEN D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
(425) 670-2807
Mailing address
PO BOX 24, CLEARLAKE, WA 98235-0024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002161
WA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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