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

Mr. Michael A Tisdale, CP00003857

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831414796

Mr. Michael A Tisdale, CP00003857 is an Addiction (Substance Use Disorder) Counselor in Elma, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010

Practice location Address checks out

308 E Young St
Elma, WA 98541
Phone: (360) 482-2674
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 CP00003857 (WA)

Record details

NPI number1831414796
Entity typeIndividual (Type 1)
GenderMale
Credentials CP00003857
Sole proprietorNo
NPI enumeratedApril 5, 2010
Last updated in NPPESApril 5, 2010

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