Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNOR TYSKIEWICZ, SUDPT
Active Sole ProprietorCONNOR TYSKIEWICZ, SUDPT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VANCOUVER, Washington. NPI 1922892488 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VANCOUVER, WA
Registration Details
- NPI Number
- 1922892488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2025 (1.3417444038369 yrs)
- Last Updated
- Oct 20, 2025
- License
-
CO61621068 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11719 NE 95TH ST STE ADVANCOUVER, WA, 986822444Browse WA providers · Browse ZIP 98682
- Phone
- 3609845511
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| COLLEEN JOANNE KRAGNESS | BA, CDPII | 1962415448 |
| DAN PARKER RUSH | M.A. | 1710097928 |
| MRS. DANYA M PATTON | CDP | 1679678114 |
| JASON SLATON | MA | 1114019577 |
| MS. LYNETTE EFFIE TRACY | CDP, LICSW | 1780769216 |
| MR. SHAUN EDWARD WILLIAMS | BS, CDPT | 1861566358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.