Provider Demographics
NPI:1437852415
Name:DOLANE, ANDREW JAMES (SUDPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:DOLANE
Suffix:
Gender:M
Credentials:SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:358 NW 85TH ST APT D3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3157
Mailing Address - Country:US
Mailing Address - Phone:206-250-7546
Mailing Address - Fax:
Practice Address - Street 1:2400 NE 95TH ST, SEATTLE, WA 98115
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-9811
Practice Address - Country:US
Practice Address - Phone:206-525-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)