ANDREW JOHN LINCICOME

KENT, WA
NPI1639446727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60215833)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- ANDREW JOHN LINCICOME CDP
841 CENTRAL AVE N SUITE C-215
KENT, WA 98032-2016
Phone number: 253-867-5344
Mailing Address
-- ANDREW JOHN LINCICOME CDP
1800 112TH AVE NE SUITE 150W
BELLEVUE, WA 98004-2993
Phone number: 425-646-7279