Individual provider · Type 1 NPI

Samantha Nelson

Addiction (Substance Use Disorder) Counselor · Sheboygan, WI

NPI number 1194177832 Active

Practice location

2842 S Business Dr
Sheboygan, WI 53081-6518

Mailing address

1310 22nd St
Two Rivers, WI 54241-2649

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16682-130 (WI)

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

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About NPI 1194177832

Samantha Nelson's National Provider Identifier is 1194177832, issued on Jul 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sheboygan, WI. The record was last updated on Jul 6, 2016.