Xandra Lee Abram, SUDPT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Seattle, WA
NPI 1295517779 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1295517779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CO61429908 (WA)
- Practice address
- 515 3Rd Ave
Seattle, WA 98104-2304 - Phone
- (206) 464-1570
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| CO61429908 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Services | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
| Therapeutic Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61429908 | WA | Yes |
Addresses
Primary practice location
515 3Rd Ave
Seattle, WA 98104-2304
Mailing address
515 3Rd Ave
Seattle, WA 98104-2304
Phone (206) 464-1570
Other providers in Seattle, WA
- Aaron Abrahamson
- Daniel C. Abrahamson
- Sandra Lee Abrahamson
- Nacole Abram
- Ramata Ioanna Abram
- Jacqueline Abramowitz
- Kelvyn Abramowitz
- Abrams Chiropractic Clinic
- Abrams Chiropractic Clinic PLLC
- Deborah M Abrams
All providers in Seattle, 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 Jul 5, 2024. 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.