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

Kendra Disspain, SUDPT

Individual provider Counselor · NPI 1164234795

Kendra Disspain, SUDPT is a Counselor in Longview, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

748 14th Ave
Longview, WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CO61589685 (WA)

Record details

NPI number1164234795
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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