Individual provider · Type 1 NPI
Stephanie Holman, SUDP
Addiction (Substance Use Disorder) Counselor · Seattle, WA
NPI number
1063195352
Active
Practice location
3272 California Ave SW
Seattle, WA 98116-3375
Mailing address
6523 California Ave SW, Suite 512
Seattle, WA 98136-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP61634930 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
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About NPI 1063195352
Stephanie Holman, SUDP's National Provider Identifier is 1063195352, issued on Aug 11, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Mar 10, 2026.