Simon S Tedrow, SUDP - Counselor in Kennewick, WA

Simon S Tedrow, SUDP is a Counselor - Addiction (substance Use Disorder) based in Kennewick, Washington. Simon S Tedrow is licensed to practice in Washington (license number CP60215848) and his current practice location is 8514 W Gage Blvd Ste G, Kennewick, Washington. He can be reached at his office (for appointments etc.) via phone at (877) 522-1275.

NPI number for Simon S Tedrow is 1295199743 and his current mailing address is 4211 Sinai Ct, Pasco, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295199743.

Contact Information

Simon S Tedrow, SUDP
8514 W Gage Blvd Ste G,
Kennewick, WA 99336-8108
(877) 522-1275
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSimon S Tedrow
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location8514 W Gage Blvd Ste G, Kennewick, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295199743
  • Provider Enumeration Date: 04/11/2016
  • Last Update Date: 11/21/2022

Medical Identifiers

Medical identifiers for Simon S Tedrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295199743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CP60215848 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Simon S Tedrow is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Simon S Tedrow, SUDP
4211 Sinai Ct,
Pasco, WA 99301-8243

Ph: (877) 522-1275
Simon S Tedrow, SUDP
8514 W Gage Blvd Ste G,
Kennewick, WA 99336-8108

Ph: (877) 522-1275

Reviews and Comments


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Mrs. Amy Patton Campbell, LMHC
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