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

Ryan Nichols M Div , Sudp, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477160380

Ryan Nichols M Div , Sudp, SUDP is an Addiction (Substance Use Disorder) Counselor in Bellevue, Washington. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1800 112th Ave NE
Bellevue, WA 98004-2993
Phone: (425) 698-1515
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

Record details

NPI number1477160380
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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