VERDELL MELODY HENDRICKSON CDP NPI 1801336896

NPI Information

NPI: 1801336896
Provider Name: VERDELL MELODY HENDRICKSON, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
15455 65TH AVE S
TUKWILA, WA
ZIP 98188
Phone: (206) 721-5170
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Verdell Melody Hendrickson, CDP is an addiction (substance use disorder) counselor in Tukwila, WA. Verdell Melody Hendrickson, CDP NPI is 1801336896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15455 65TH AVE S
TUKWILA, WA
ZIP 98188-534
Phone: (206) 721-5170
Fax: (206) 721-6288

The enumeration date for this NPI number is 2/24/2017 and was last updated on 7/21/2022.

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)	60749932	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	156	WYOMING	Yes

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: 5/5/2024

NPI Synchronization or Removal

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