Chanda Denise Allen, CDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Auburn, WA
NPI 1104397314 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1104397314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP60171129 (WA)
- Practice address
- 721 45TH St NE
Auburn, WA 98002-1303 - Phone
- (253) 289-6233
- Fax
- (253) 859-0789
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60171129 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CP60171129 | WA | Yes |
Addresses
Primary practice location
721 45TH St NE
Auburn, WA 98002-1303
Mailing address
721 45TH St NE Ste C
Auburn, WA 98002-1303
Phone (253) 289-6233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP60171129 | Other | WA | CHEMICAL DEPENDENCY PROFESSIONAL |
Other providers in Auburn, WA
- Eloy Bio Alibin III
- Adebayo Aliu
- All Saints Adult Family Home, LLC
- Lynn A Allar
- Cathy Lucile Allen
- Jamie Ann Sheppard Allen
- Michelle M Allen
- Sarah McKenzie Allentreece
- Ariel Alon
- Alpine Fairways Care Home LLC
All providers in Auburn, WA · Addiction (Substance Use Disorder) Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.