Individual
ANDRES ENRIQUE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3285 FERGUSON ST SW WA 98512, TUMWATER, WA 98512
(360) 943-1907
Mailing address
811 93RD AVE SW APT B, OLYMPIA, WA 98512-9154
(360) 870-5493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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