Andrea Conley
Individual provider Active NPI Mental Health Counselor · Bow, WA
NPI 1700565645 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1700565645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MC61574132 (WA)
- Practice address
- 4882 Roney Rd
Bow, WA 98232-9381 - Phone
- (360) 399-4920
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61467722 | WA | MD | Counselor |
| MC61574132 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61574132 | WA | Yes |
| Counselor | 101Y00000X | CG61467722 | WA |
Addresses
Primary practice location
4882 Roney Rd
Bow, WA 98232-9381
Mailing address
4882 Roney Rd
Bow, WA 98232-9381
Phone (360) 399-4920
Other providers in Bow, WA
- Susan V. Ahern
- Kathleen Johnson Becker
- Ann Marie Brooking
- Sarah Bryan
- Londa Sue Damon
- Dentall
- Jennifer Marie Hamley
- Patricia Klipple
- Kristen Layman
All providers in Bow, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.