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MR. MICHAEL A TISDALE CP00003857
NPI 1831414796
Counselor - Addiction (Substance Use Disorder) in Elma, WA

Active since April 05, 2010
308 E. YOUNG ST., ELMA, WA 98541(360) 482-2674 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael A Tisdale Cp00003857 NPPES

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

MR. MICHAEL A TISDALE CP00003857 (NPI 1831414796) is an individual addiction (substance use disorder) provider in Elma, Washington, licensed in Washington (CP00003857) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1831414796
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL A TISDALECredential: CP00003857
Location Address308 E. YOUNG ST.Elma, WA 98541
Mailing AddressPo Box 477Elma, WA 98541-0477 · (360) 482-2674
Phone(360) 482-2674
Sole ProprietorNo
Enumeration DateApril 5, 2010
✔ NPI 1831414796 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 · CP00003857
308 E. YOUNG ST., Elma, WA 98541
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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.

LINDEY LU KAELIN GINTHER CDPT
Counselor (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674
BROCK DUSTIN POHL CDP
Counselor (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674
MR. JAMES EMMETT HANSEN
Registered Nurse (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674
MS. SANDRA RAMSEY TODD CDP
Counselor (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674
MRS. PAULINE J FOSTER
Registered Nurse (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674
MRS. KIMBERLY ANN PETERS CDP
Counselor (Addiction (Substance Use Disorder))
308 E. YOUNG ST.
ELMA, WA 98541
Grays Harbor County (360) 482-2674

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 Michael Tisdale's NPI number?

The NPI number for Michael Tisdale is 1831414796. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Michael Tisdale located?

Michael Tisdale practices at 308 E. Young St., Elma, WA 98541. The listed phone number is (360) 482-2674.

What is Michael Tisdale'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 Michael Tisdale was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.