IndividualActive
Amanda Warner, SUDP
NPI 1053286799 · Addiction (Substance Use Disorder) Counselor · Edmonds, WA
Provider details
- NPI number
- 1053286799
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDP
- Sex
- Female
- Sole proprietor
- No
- License
- CP61475294 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
22612 95th Pl W
Edmonds, WA 98020-4524
Phone: (425) 583-4134
Approximate (ZIP-level) locationGet directions
Mailing address
22612 95th Pl W
Edmonds, WA 98020-4524
Registry dates
- Enumerated
- 2025-10-10
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.