Provider Demographics
NPI:1518652478
Name:MAJURY, ANDREW R
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:MAJURY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11910 NE 154TH ST
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606-9571
Mailing Address - Country:US
Mailing Address - Phone:360-635-4120
Mailing Address - Fax:
Practice Address - Street 1:11910 NE 154TH ST
Practice Address - Street 2:
Practice Address - City:BRUSH PRAIRIE
Practice Address - State:WA
Practice Address - Zip Code:98606-9571
Practice Address - Country:US
Practice Address - Phone:360-635-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)