Individual provider · Type 1 NPI
Kelley Nelson Whitty Sandaker, SUDP
Addiction (Substance Use Disorder) Counselor · Seattle, WA
NPI number
1588080063
Active
Practice location
3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847
Fax (206) 695-7606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60367121 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1588080063
Kelley Nelson Whitty Sandaker, SUDP's National Provider Identifier is 1588080063, issued on Mar 8, 2014. 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 Jul 14, 2025.