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SCOTT WALTER BLAKE SUDPT
NPI 1710768577
Counselor - Addiction (Substance Use Disorder) in Shelton, WA

Active since October 09, 2023
235 S 3RD ST, SHELTON, WA 98584(360) 426-0890 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scott Walter Blake Sudpt NPPES

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

SCOTT WALTER BLAKE SUDPT (NPI 1710768577) is an individual addiction (substance use disorder) provider in Shelton, Washington, licensed in Washington (61479679) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1710768577
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT WALTER BLAKECredential: SUDPT
Location Address235 S 3RD STShelton, WA 98584-2255
Mailing Address15838 104th Ave SeYelm, WA 98597-9567 · (585) 219-3157
Phone(360) 426-0890
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1710768577 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 · 61479679
235 S 3RD ST, Shelton, WA 98584
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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

MS. JENNIFER KRISTINE CASTANETO CDP
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 584-5803
PATRICK WESSELLS
Case Manager/Care Coordinator
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
CHRISTINA BOND CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
NATALYA KINDER CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
DAVID JENSEN CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
BERNADINE LEE KNUTZ CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
MRS. CHELSEA NICOLE NEFF
Peer Specialist
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 868-2697
DILMA LIZET DEMARTINO
Case Manager/Care Coordinator
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 868-2697
JAMES PETERMAN
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
SHERA JEAN CLARK
Case Management
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
DAMON ALLEN STRICKLETT CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
NATALIE CAROLINE CALLELY
Counselor (Mental Health)
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
KORI MARKUS KRONMEYER CO61098828
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
THERESA RICHARDS CDP
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
MS. LAURIE CATHERINE ROMEY CAAR
Counselor (Mental Health)
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
STEVE HENRY EISLER
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
KAMI ROSE DENISON CO 61010965
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 463-7058
CASEY FORSYTH CASAC, SUDP
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
KARIANE CUNNINGHAM CO60831441
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890

Frequently Asked Questions

What is Scott Blake's NPI number?

The NPI number assigned to this healthcare provider is 1710768577, enumerated as an "individual" on October 09, 2023.

Where is the provider located?

The provider is located at 235 S 3RD ST SHELTON, WA 98584 and the phone number is (360) 426-0890.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).