Individual
ANDREW ENSOR
Active
Individual
ANDREW ENSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSWAIC, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61131015
WA
1041C0700X
Clinical Social Worker
Primary
61010971
WA
Other
Enumeration date
11/10/2020
Last updated
12/01/2023
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