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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568004182

Tracy L Dantzler, SUDP is an Addiction (Substance Use Disorder) Counselor in Spokane Valley, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2019
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Practice location Address checks out

10305 E Montgomery Dr
Spokane Valley, WA 99206-4220
Phone: (509) 418-2108
Fax: (509) 315-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP00002768 (WA)

Record details

NPI number1568004182
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorYes
NPI enumeratedOctober 15, 2019
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address101 E Magnesium Rd Ste 101, Spokane, WA 99208-5901

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