Individual provider · Type 1 NPI

Andrea Ishem

Addiction (Substance Use Disorder) Counselor · Renton, WA

NPI number 1508429549 Active

Practice location

1412 SW 43rd St Ste 140
Renton, WA 98057-4803

Mailing address

1700 Airport Way S
Seattle, WA 98134-1618

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X60820643 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61294849 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508429549

Andrea Ishem's National Provider Identifier is 1508429549, issued on Apr 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Renton, WA. The record was last updated on Aug 31, 2022.