Donald E Andersen, LICSW
Individual provider Active NPI Mental Health Counselor · Longview, WA
NPI 1992031397 · NPPES record last updated Oct 20, 2009
Key facts
- NPI
- 1992031397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LW00006845 (WA)
- Practice address
- 921 14TH Ave
Longview, WA 98632-2316 - Phone
- (360) 577-0266
- Fax
- (360) 577-0269
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| LW00006845 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LW00006845 | WA | Yes |
Addresses
Primary practice location
921 14TH Ave
Longview, WA 98632-2316
Mailing address
921 14TH Ave
Longview, WA 98632-2316
Phone (360) 577-0266
Other providers in Longview, WA
- Lance Michael Scott Amols
- Brock J Amos
- Aleigha M Andersen
- Ashley Marie Andersen
- Christine Andersen
- Patricia Andersen
- Ashlie R Anderson
- Danelle Anderson
- Deanna L Anderson
- Debbie C. Anderson
All providers in Longview, 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 Oct 20, 2009. 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.