KENNETH ALLEN BOICE SUDP
NPI 1891330684
Counselor - Addiction (Substance Use Disorder) in Spokane Valley, WA

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).

Active since November 15, 2019

12715 E MISSION AVE, SPOKANE VALLEY, WA 99216(509) 232-5766(509) 321-5472 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kenneth Allen Boice Sudp NPPES

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

KENNETH ALLEN BOICE SUDP (NPI 1891330684) is an individual addiction (substance use disorder) provider in Spokane Valley, Washington, licensed in Washington (CP60655745) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1891330684

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENNETH ALLEN BOICECredential: SUDP

Location Address12715 E MISSION AVESpokane Valley, WA 99216-1027

Mailing Address12715 E Mission AveSpokane Valley, WA 99216-1027 · (509) 232-5766 · Fax (509) 321-5472

Phone(509) 232-5766

Fax(509) 321-5472

Sole ProprietorNo

Enumeration DateNovember 15, 2019

✔ NPI 1891330684 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 · CP60655745

12715 E MISSION AVE, Spokane Valley, WA 99216

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Other Identifiers 1

Medicaid2077844WA

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.

AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.

Substance Abuse Rehabilitation Facility