Individual provider · Type 1 NPI
Andy Mark Lexow, CDP
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1710116256
Active
Practice location
1601 E 4th Plain, Building #17
Vancouver, WA 98661-3753
Fax (360) 397-8230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP 00006315 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1710116256
Andy Mark Lexow, CDP's National Provider Identifier is 1710116256, issued on Jul 6, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jul 6, 2009.