Andersen, Patricia

Andersen, Patricia is an sole proprietor health care provider with primary practice located at 1157 3Rd Ave Ste 100 , Longview WA 98632-6007. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Andersen, Patricia can be contacted via phone (360) 560-7735.

Contact Information

Primary practice address
1157 3Rd Ave Ste 100 Longview WA 98632-6007
Phone: (360) 560-7735
Fax: (360) 577-8879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60848008 Washington

Profile Details

NPI number 1831597384
LBN Legal business name Andersen, Patricia
Credentials MS LMFT CMHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2014
Last updated Oct 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831597384 NPPES
Washington MEDICAID 2048981
Washington Other CG 60139301

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