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Individual

ANDREW ENSOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LSWAIC, SUDP

Contact information

Practice address
19010 68TH AVE NE UNIT C202, KENMORE, WA 98028-2692
(206) 947-6235
Mailing address
19010 68TH AVE NE UNIT C202, KENMORE, WA 98028-2692
(206) 947-6235

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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