DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JEANNIE HOLMES SUDPT

MEDICARE: JEANNIE HOLMES SUDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCO61645951WA

General Provider Information

NPI Number : 1396695391
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNIE HOLMES SUDPT
Provider Business Mailing Address
First Line : 3051 W SIMS WAY
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2255
Country : US
Telephone Number : 360-385-1258
Fax Number :
Provider Business Practice Location Address
First Line : 3051 W SIMS WAY
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2255
Country : US
Telephone Number : 360-531-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

Similar Medicare Providers

1104231836 — GABRHEA CAUDILL SUDP, LMHC
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:
1609539246 — DIONNE E KING SUDPT
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:
1013635382 — CHARLES LEIGH BABCOCK II SUDP
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:
1528833175 — KRISTINA ANN CARLSON
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:
1760238414 — JACQUELINE REAUME
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:
1598511206 — MR. AARON BRUCE WASSON SUDP, CAMS-II
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax: 360-343-9093
1235985276 — BRITTANY CHASE MURPHY
Practice Location Address:
3051 W SIMS WAY
PORT TOWNSEND, WA
98368-2255
Practice Phone: 360-385-1258
Practice Fax:

Directions to “ JEANNIE HOLMES SUDPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.