Individual provider · Type 1 NPI

Jamie Ryker Wilson, SUDP

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1821962366 Active

Practice location

113 23rd Ave S
Seattle, WA 98144-2309

Fax (253) 280-9870

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61688985 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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

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About NPI 1821962366

Jamie Ryker Wilson, SUDP's National Provider Identifier is 1821962366, issued on Sep 29, 2025. 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 Jan 14, 2026.