Individual provider · Type 1 NPI

Scott Michael Dickinson, SUDP

Addiction (Substance Use Disorder) Counselor · Shelton, WA

NPI number 1679034748 Active

Practice location

506 W Franklin St
Shelton, WA 98584-3517

Fax (360) 427-5006

Mailing address

PO Box 59
Chehalis, WA 98532-0059

Other practice locations

  • 1956 NE Kresky Ave, Chehalis, WA 98532-2307 · (360) 740-4380

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00004514 (WA)

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

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About NPI 1679034748

Scott Michael Dickinson, SUDP's National Provider Identifier is 1679034748, issued on Mar 29, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelton, WA. The record was last updated on Oct 24, 2025.