Individual provider · Type 1 NPI

Simon S. Tedrow, SUDP

Addiction (Substance Use Disorder) Counselor · Kennewick, WA

NPI number 1295199743 Active

Practice location

8514 W Gage Blvd Ste G
Kennewick, WA 99336-8108

Mailing address

4211 Sinai Ct
Pasco, WA 99301-8243

Other practice locations

  • 500 N Morain St Ste 1250, Kennewick, WA 99336-2967 · (509) 783-0500
  • 1175 Carondelet Dr, Richland, WA 99354-3300 · (509) 943-9104

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60215848 (WA)

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

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About NPI 1295199743

Simon S. Tedrow, SUDP's National Provider Identifier is 1295199743, issued on Apr 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kennewick, WA. The record was last updated on Nov 21, 2022.