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

Simon S Tedrow, SUDP

Individual provider Mental Health Counselor · NPI 1295199743

Simon S Tedrow, SUDP is a Mental Health Counselor in Kennewick, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8514 W Gage Blvd Ste G
Kennewick, WA 99336-8108
Phone: (877) 522-1275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 N Morain St Ste 1250, Kennewick, WA 99336-2967 — (509) 783-0500
  • 1175 Carondelet Dr, Richland, WA 99354-3300 — (509) 943-9104

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60215848 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1295199743
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address4211 Sinai Ct, Pasco, WA 99301-8243

Other providers in Kennewick