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NPI Code Detail

MEDICARE: MARK ANTHONY ANDREWS

MEDICARE:   MARK ANTHONY ANDREWS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDPT.CO.701014WA

General Provider Information

NPI Number : 1184568982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANTHONY ANDREWS
Provider Business Mailing Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Provider Business Practice Location Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MARK ANTHONY ANDREWS ” Practice Location

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