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

Mr. Larry James Tedder, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376823526

Mr. Larry James Tedder, CDP is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011

Practice location Address checks out

305 Pacific Ave S Ste 102
Kelso, WA 98626-1638
Phone: (360) 577-7442
Fax: (360) 577-7904
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 00001495 (WA)

Record details

NPI number1376823526
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedAugust 19, 2011
Last updated in NPPESNovember 21, 2019
Mailing addressPo Box 1847, Longview, WA 98632-8140

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