| Andrea Broadwater Counseling And Consulting, Llc | |
|
4518 Cashmere Dr Ne Lacey WA 98516-1356 | |
| (734) 210-0308 | |
| Not Available |
| Full Name | Andrea Broadwater Counseling And Consulting, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4518 Cashmere Dr Ne, Lacey, Washington |
| Authorized Official Name and Position | Andrea Broadwater (MANAGER AND OWNER) |
| Authorized Official Contact | 7342100308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Broadwater Counseling And Consulting, Llc 4518 Cashmere Dr Ne Lacey WA 98516-1356 Ph: (734) 210-0308 | Andrea Broadwater Counseling And Consulting, Llc 4518 Cashmere Dr Ne Lacey WA 98516-1356 Ph: (734) 210-0308 |
| NPI Number | 1225693674 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225693674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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