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

Mr. Derik L Sandoval, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174137152

Mr. Derik L Sandoval, SUDPT is an Addiction (Substance Use Disorder) Counselor in Aberdeen, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020

Practice location Address checks out

2700 Simpson Ave Ste 101
Aberdeen, WA 98520
Phone: (360) 612-0012
Fax: (360) 532-0670
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 CO60987238 (WA)

Record details

NPI number1174137152
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedSeptember 7, 2020
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

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