ANDY MARK LEXOW

VANCOUVER, WA
NPI1710116256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP 00006315)
Enumeration Date2009-07-06
Last Update Date2009-07-06
Business Address
Mr. ANDY MARK LEXOW CDP
1601 E 4TH PLAIN BUILDING #17
VANCOUVER, WA 98661-3753
Phone number: 360-397-8246
Mailing Address
Mr. ANDY MARK LEXOW CDP
1601 E 4TH PLAIN BUILDING #17
VANCOUVER, WA 98661-3753
Phone number: 360-397-8246