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

Mikel Cummings Boatman, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700065877

Mikel Cummings Boatman, SUDP is an Addiction (Substance Use Disorder) Counselor in Kennewick, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

415 N Morain St
Kennewick, WA 99336-2667
Phone: (509) 735-6900
Fax: (509) 735-6914
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 CP60011890 (WA)

Record details

NPI number1700065877
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedOctober 25, 2007
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

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