Individual
ANDREA MARIE KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
1500 VAN NESS ST, PORT TOWNSEND, WA 98368-6346
(360) 301-1063
Mailing address
93 MATHESON ST UNIT 638, PORT HADLOCK, WA 98339-4026
(360) 301-1063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60164516
WA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SC61059929
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/15/2018
Last updated
09/08/2022
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