Most Relevant Information
Provider Data
| NPI Number: | 1003521311 |
| Provider Name: | ANDREW DANIEL-JUDE THOMPSON SUDPT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 6123426 |
Most Important Dates
| Enumeration Date: | 01/20/2023 |
| Last Updated: | 01/20/2023 |
Provider Practice Location
3773 MARTIN WAY E
OLYMPIA
WA
985065048
Practice Location Phone/Fax
| Phone: | 3606887312 |
| Fax: | 3606887318 |
Provider Mailing Location
2708 WESTMOOR CT SW
OLYMPIA
WA
985025754
Provider Mailing Phone/Fax
| Phone: | 3609438810 |
| Fax: | 3609430931 |