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

Stephanie C Tidholm, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710630082

Stephanie C Tidholm, SUDPT is an Addiction (Substance Use Disorder) Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2133 3rd Ave
Seattle, WA 98121-2385
Phone: (206) 223-1482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 101YA0400X (WA)

Record details

NPI number1710630082
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorYes
NPI enumeratedJanuary 27, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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