MR. Anthony Isam Andrisek, BA

NPI #1619260205 in Lakewood, Washington

Provider Information

NPI Number
1619260205
Entity Type
Individual
Name
MR. Anthony Isam Andrisek, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
BA
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011

Practice Location

Address
9330 59TH AVE SW
ZIP Code
98499-2858
Phone
(253) 620-5015

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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