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

Kelley Nelson Whitty Sandaker, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588080063

Kelley Nelson Whitty Sandaker, SUDP is an Addiction (Substance Use Disorder) Counselor in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847
Phone: (206) 774-2461
Fax: (206) 695-7606
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 CO60367121 (WA)

Record details

NPI number1588080063
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedMarch 8, 2014
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

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