SHANDRA PAULINE SPRY CO61511121
NPI 1649033721
Counselor - Addiction (Substance Use Disorder) in Port Angeles, WA
Active since February 01, 2024
About Shandra Pauline Spry Co61511121 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDRA PAULINE SPRY CO61511121 (NPI 1649033721) is an individual addiction (substance use disorder) provider in Port Angeles, Washington, licensed in Washington (CO61511121) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1649033721
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANDRA PAULINE SPRYCredential: CO61511121
Location Address825 E 5TH STPort Angeles, WA 98362-3818
Mailing Address825 E 5th StPort Angeles, WA 98362-3818 · (360) 477-4790
Phone(360) 477-4790
Sole ProprietorYes
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1649033721 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 · CO61511121
825 E 5TH ST, Port Angeles, WA 98362
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Speech-Language Pathologist
825 E 5TH ST
PORT ANGELES, WA 98362
PORT ANGELES, WA 98362
Substance Abuse Rehabilitation Facility
825 E 5TH ST, SUITE B
PORT ANGELES, WA 98362
PORT ANGELES, WA 98362
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
PORT ANGELES, WA 98362
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
PORT ANGELES, WA 98362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649033721, enumerated as an "individual" on February 01, 2024.
The provider is located at 825 E 5TH ST PORT ANGELES, WA 98362 and the phone number is (360) 477-4790.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
