Individual provider · Type 1 NPI

Samantha Maxwell, BA

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1063809929 Active

Practice location

1601 2nd St
San Rafael, CA 94901-2712

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 1063809929

Samantha Maxwell, BA's National Provider Identifier is 1063809929, issued on Apr 17, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Apr 17, 2015.