MR. JEREMIAH THUNDERWALKER SAUCIER SUDP NPI 1124355466

NPI Information

NPI: 1124355466
Provider Name: MR. JEREMIAH THUNDERWALKER SAUCIER, SUDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8717 S HOSMER ST
TACOMA, WA
ZIP 98444
Phone: (253) 473-7474
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MR. Jeremiah Thunderwalker Saucier, SUDP is an addiction (substance use disorder) counselor in Tacoma, WA. MR. Jeremiah Thunderwalker Saucier, SUDP NPI is 1124355466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8717 S HOSMER ST
TACOMA, WA
ZIP 98444-819
Phone: (253) 473-7474

The enumeration date for this NPI number is 11/6/2009 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO60117863	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CO60117863	OTHER	WASHINGTON	WASHINGTON STATE DEPARTMENT OF HEALTH
2	RC60098609	OTHER	WASHINGTON	WA STATE DEPARTMENT OF HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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