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Individual

MR. ANDREW SYVERTSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LMHC, BCBA

Contact information

Practice address
2366 EASTLAKE AVE E STE 306, SEATTLE, WA 98102-3399
(206) 612-1008
Mailing address
2366 EASTLAKE AVE E STE 306, SEATTLE, WA 98102-3399
(206) 612-1008

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60495187
WA
103K00000X
Behavior Analyst
1-07-3686
WA

Other

Enumeration date
01/04/2011
Last updated
03/24/2015
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