MRS. CAROL MAE BRIGHAM SUDP
NPI 1023642659
Counselor - Addiction (Substance Use Disorder) in Port Orchard, WA

Active since February 21, 2020
614 DIVISION ST # MS -19, PORT ORCHARD, WA 98366(360) 337-4625(360) 337-4704 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carol Mae Brigham Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROL MAE BRIGHAM SUDP (NPI 1023642659) is an individual addiction (substance use disorder) provider in Port Orchard, Washington, licensed in Washington (CP00001469) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1023642659
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CAROL MAE BRIGHAMCredential: SUDP
Location Address614 DIVISION ST # MS -19Port Orchard, WA 98366-4614
Mailing Address614 Division St # Ms -19Port Orchard, WA 98366-4614 · (360) 337-4625 · Fax (360) 337-4704
Fax(360) 337-4704
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedFebruary 21, 2020
NPI 1023642659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP00001469
614 DIVISION ST # MS -19, Port Orchard, WA 98366

Other Identifiers 1

Medicaid090515WA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
614 DIVISION ST # MS -19
PORT ORCHARD, WA 98366
Counselor (Addiction (Substance Use Disorder))
614 DIVISION ST # MS -19
PORT ORCHARD, WA 98366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Brigham's NPI number?

The NPI number for Carol Brigham is 1023642659. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Carol Brigham located?

Carol Brigham practices at 614 Division St # Ms -19, Port Orchard, WA 98366. The listed phone number is (360) 337-4625.

What is Carol Brigham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carol Brigham was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.