Individual provider · Type 1 NPI

Theodore Bryan Tennison, CDPT

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1891270153 Active

Practice location

1415 Center St
Tacoma, WA 98409-8210

Call (253) 280-9860 Map

Fax (253) 280-9870

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61071467 (WA)

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

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About NPI 1891270153

Theodore Bryan Tennison, CDPT's National Provider Identifier is 1891270153, issued on Oct 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Oct 19, 2022.