Andy Mark Lexow CDP

NPI 1710116256 - Counselor - 101YA0400X

NPI Details
NPI 1710116256
Gender Male
Enumeration Date 07/06/2009
Last Updated 07/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1601 E 4TH PLAIN
BUILDING #17
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8246
Fax (360) 397-8230
Business Location
1601 E 4TH PLAIN
BUILDING #17
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8246
Fax (360) 397-8230
Toxanomy
Taxonomy Code 101YA0400X
License State Washington
License Number CP 00006315
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According to our database, Mr. Andy Mark Lexow CDP NPI is 1710116256, taxonomy code is 101YA0400X and license number is CP 00006315, license state is located at Washington. Andy Mark Lexow CDP physically located at 1601 E 4th Plain, Vancouver WA, 98661-3753. NPI Number Andy Mark Lexow CDP has the Individual type.

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1710116256 NPI number is provided on an as is basis without warranty of any kind. 1710116256 is maintained by the National Plan & Provider Enumeration System. The contents of Andy Mark Lexow CDP are for informational purposes only.