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Andrea Ishem
Addiction (Substance Use Disorder) Counselor in Renton, Washington
NPI 1508429549

Andrea Ishem is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Andrea Ishem practices in Renton, WA. The NPI Number for Andrea Ishem is 1508429549 and holds a License No. 60820643 (Washington).

The current practice location address for Andrea Ishem is 1412 Sw 43Rd St Ste 140, Renton, WA and can be reached out via phone at 206-223-3644.

Location: 1412 Sw 43Rd St Ste 140, Renton, WA, 98134-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508429549
Provider Name
Andrea Ishem
Credential
Provider Entity Type
Individual
Gender
Female
Address
1412 Sw 43Rd St Ste 140, Renton, WA, 98134-1618
Phone Number
206-223-3644
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 Sw 43Rd St Ste 140
City
Renton
State
Washington
Zip
98057-4803
Phone Number
206-223-3644
Fax Number
person
Provider Business Mailing Address Details
Address
1412 Sw 43Rd St Ste 140
City
Renton
State
Washington
Zip
98057-4803
Phone Number
206-223-3644
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP61294849 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60820643 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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