Mr. Cody Reginald Andres
Mr. Cody Reginald Andres is a Mental Health Counselor in Davenport, Washington. Qualified in 2022, 4 years ago. Practices with Stevens County, a 12-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 4
- Licensed in
- WA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1211 Merriam StDavenport, WA 99122-8654
Phone: (509) 725-3001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LH61488465 (WA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1063090231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2021 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 7, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Stevens County — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Davenport
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Krista Camille Seyler
1211 Merriam St, Davenport, WA 99122-8654 · (095) 725-3001