Provider Demographics
NPI:1932524014
Name:GALBREATH, ANDREW R (MSW, LICSW, CDP)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:GALBREATH
Suffix:
Gender:M
Credentials:MSW, LICSW, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 118TH AVE SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3587
Mailing Address - Country:US
Mailing Address - Phone:425-681-3640
Mailing Address - Fax:
Practice Address - Street 1:345 118TH AVE SE
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3587
Practice Address - Country:US
Practice Address - Phone:425-681-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60370891101YA0400X
WALW603980431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)