AMBER KENLEY WILKS CADC I, SUDP
NPI 1982315131
Counselor - Addiction (Substance Use Disorder) in Seattle, WA
Active since December 08, 2022
About Amber Kenley Wilks Cadc I, Sudp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBER KENLEY WILKS CADC I, SUDP (NPI 1982315131) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (CK61635927) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1982315131
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameAMBER KENLEY WILKSCredential: CADC I, SUDP
Location Address1618 S LANE STSeattle, WA 98144-2829
Mailing Address1618 S Lane StSeattle, WA 98144-2829 · (206) 464-1570
Phone(206) 464-1570
Sole ProprietorNo
Enumeration DateDecember 8, 2022
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1982315131 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in WA · CK61635927✔ Licensed in OR · 10-06-42
Also ListedBehavior TechnicianTaxonomy 106S00000X
1618 S LANE ST, Seattle, WA 98144
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982315131, enumerated as an "individual" on December 08, 2022.
The provider is located at 1618 S LANE ST SEATTLE, WA 98144 and the phone number is (206) 464-1570.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).