Individual provider · Type 1 NPI

Samuel Craig Kankel, RADT 1

Addiction (Substance Use Disorder) Counselor · East Palo Alto, CA

NPI number 1164317814 Active

Practice location

2560 Pulgas Ave
East Palo Alto, CA 94303-1323

Call (650) 325-6466 Map

Mailing address

631 Woodside Rd
Redwood City, CA 94061-3847

Other practice locations

  • 631 Woodside Rd, Redwood City, CA 94061-3847 · (650) 977-9216

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 1164317814

Samuel Craig Kankel, RADT 1's National Provider Identifier is 1164317814, issued on Jun 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Palo Alto, CA. The record was last updated on Oct 18, 2025.