Individual provider · Type 1 NPI

Andrew John Lincicome, CDP

Addiction (Substance Use Disorder) Counselor · Kent, WA

NPI number 1639446727 Active

Practice location

841 Central Ave N, Suite C-215
Kent, WA 98032-2016

Fax (253) 867-5348

Mailing address

1800 112th Ave NE, Suite 150W
Bellevue, WA 98004-2993

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60215833 (WA)

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

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About NPI 1639446727

Andrew John Lincicome, CDP's National Provider Identifier is 1639446727, issued on Nov 17, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, WA. The record was last updated on Nov 17, 2011.