Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryanna Marie Jellum, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760955272

Bryanna Marie Jellum, SUDP is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019

Practice location Address checks out

404 W Main St
Kelso, WA 98626-1118
Phone: (360) 423-2806
Fax: (360) 423-5128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 60279397 (WA)

Record details

NPI number1760955272
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

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