Provider Demographics
NPI:1336205525
Name:CHIPPS, ANDREW JAMES (MA LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:CHIPPS
Suffix:
Gender:M
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 SW 43RD ST
Mailing Address - Street 2:SUITE 3 MA
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4957
Mailing Address - Country:US
Mailing Address - Phone:425-271-1333
Mailing Address - Fax:425-271-5604
Practice Address - Street 1:258 SW 43RD ST
Practice Address - Street 2:SUITE 3 MA
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4957
Practice Address - Country:US
Practice Address - Phone:425-271-1333
Practice Address - Fax:425-271-5604
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist