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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215323977

Michelle Buckholz, SUDP is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2015
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Practice location Address checks out

621 Grade St
Kelso, WA 98626-2606
Phone: (360) 425-9210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 — (360) 274-3262

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60551022 (WA)

Record details

NPI number1215323977
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address1057 12th Ave, Longview, WA 98632-2509

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