Individual
PATRICIA ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LMFT CMHS
Contact information
Practice address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 560-7735
(360) 577-8879
Mailing address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 560-7735
(360) 577-8879
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60848008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048981
—
WA
01
—
CG 60139301
COUNSELOR AGENCY AFFILIATED REGISTRATION
WA
Enumeration date
12/16/2014
Last updated
10/31/2019
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