Individual provider · Type 1 NPI

Derik L. Sandoval, SUDPT

Addiction (Substance Use Disorder) Counselor · Aberdeen, WA

NPI number 1174137152 Active

Practice location

2700 Simpson Ave, Suite 101
Aberdeen, WA 98520

Call (360) 612-0012 Map

Fax (360) 532-0670

Mailing address

PO Box 1847
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60987238 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174137152

Derik L. Sandoval, SUDPT's National Provider Identifier is 1174137152, issued on Sep 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aberdeen, WA. The record was last updated on May 5, 2021.