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

Sage Beach, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750078002

Sage Beach, SUDPT is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717
Phone: (360) 397-8246
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 61428672 (WA)

Record details

NPI number1750078002
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDPT
Sole proprietorYes
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address812 Se 136th Ave Unit G66, Vancouver, WA 98683-6982

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