person
Kelley Nelson Whitty-sandaker, CDP
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1588080063

Kelley Nelson Whitty-sandaker is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Kelley Nelson Whitty-sandaker practices in Tacoma, WA and has the professional credentials of CDP. The NPI Number for Kelley Nelson Whitty-sandaker is 1588080063 and holds a License No. CO60367121 (Washington).

The current practice location address for Kelley Nelson Whitty-sandaker is 504 112Th St S, Tacoma, WA and can be reached out via phone at 253-536-5549 and via fax at 253-536-1255.

Location: 504 112Th St S, Tacoma, WA, 98402-2005
person
Provider Profile Details
NPI Number
1588080063
Provider Name
Kelley Nelson Whitty-sandaker
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
504 112Th St S, Tacoma, WA, 98402-2005
Phone Number
253-536-5549
Fax Number
253-536-1255
Provider Enumeration Date
03/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 112Th St S
City
State
Zip
98444-5720
Phone Number
253-536-5549
Fax Number
253-536-1255
person
Provider Business Mailing Address Details
Address
504 112Th St S
City
State
Zip
98444-5720
Phone Number
253-536-5549
Fax Number
253-536-1255
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60367121 (Washington)
Definition
Definition to come...
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