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MARKELL PETERSEN SUDP
NPI 1104383645
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since February 20, 2019
7700 NE 26TH AVE, VANCOUVER, WA 98665(360) 397-8228(360) 397-8251 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Nov 19, 2020, Feb 20, 2019 (3 updates tracked since 2019).

About Markell Petersen Sudp NPPES

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

MARKELL PETERSEN SUDP (NPI 1104383645) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (61146194) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1104383645
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARKELL PETERSENCredential: SUDP
Location Address7700 NE 26TH AVEVancouver, WA 98665-0672
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9494 · Fax (360) 353-9440
Phone(360) 397-8228
Fax(360) 397-8251
Sole ProprietorNo
Enumeration DateFebruary 20, 2019
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1104383645 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 · 61146194
7700 NE 26TH AVE, Vancouver, WA 98665
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

DAVID ALDEN PULLIAM LMHC
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
KARA D FRIZZELL
Social Worker (Clinical)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
COWLITZ INDIAN TRIBE
Clinic/Center (Rehabilitation, Substance Use Disorder)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
ALLISON LYNN JONES MA
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
JAYNELLE KOPP SUDP
Counselor (Addiction (Substance Use Disorder))
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
ROXANNE MARIE WEINER LMHC
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
JENNIFER FRESH PMHNP, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
DAVID LEE TAUB
Social Worker (Clinical)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228

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 Markell Petersen's NPI number?

The NPI number for Markell Petersen is 1104383645. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Markell Petersen located?

Markell Petersen practices at 7700 NE 26th Ave, Vancouver, WA 98665. The listed phone number is (360) 397-8228.

What is Markell Petersen'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 Markell Petersen was last updated on July 10, 2024. 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.