MS. CHRISTINA KATHERINE TAYLOR SUDP - NPI 1295264844

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Ms. Christina Katherine Taylor Sudp NPPES

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

MS. CHRISTINA KATHERINE TAYLOR SUDP (NPI 1295264844) is an individual addiction (substance use disorder) provider in Bellevue, Washington and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1295264844

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. CHRISTINA KATHERINE TAYLORCredential: SUDP

Location Address12330 NE 8TH ST STE 100Bellevue, WA 98005-3187

Mailing Address1412 140th Pl NeBellevue, WA 98007-3915

Phone(425) 747-7892

Sole ProprietorNo

Enumeration DateJune 7, 2017

Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1295264844 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

12330 NE 8TH ST STE 100, Bellevue, WA 98005

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Other Identifiers 1

Medicaid1295264844WA

Other Providers at the Same Location NPPES 6

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

MARIANA POP

Counselor (Addiction (Substance Use Disorder))