ANTHONY ISAM ANDRISEK

LAKEWOOD, WA
NPI1619260205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-05-16
Last Update Date2011-05-16
Business Address
Mr. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Mailing Address
Mr. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015