Individual provider · Type 1 NPI

Samantha Haynes

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1104567783 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Mailing address

6022 Variel Ave
Woodland Hills, CA 91367-3719

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 1104567783

Samantha Haynes's National Provider Identifier is 1104567783, issued on Apr 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Apr 6, 2022.