Individual
ANDREW IDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
2804 GRAND AVE, SUITE 304, EVERETT, WA 98201-3430
(425) 802-3568
(425) 257-9154
Mailing address
2804 GRAND AVE, SUITE 304, EVERETT, WA 98201-3430
(425) 802-3568
(425) 257-9154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60201095
WA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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