Individual provider · Type 1 NPI

Samantha Brooke Wagner

Addiction (Substance Use Disorder) Counselor · Oceanside, CA

NPI number 1013415199 Active

Practice location

3230 Waring Ct Ste A
Oceanside, CA 92056-4509

Call (760) 305-7528 Map

Fax (760) 509-4410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013415199

Samantha Brooke Wagner's National Provider Identifier is 1013415199, issued on Jan 24, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oceanside, CA. The record was last updated on Jan 24, 2018.