Individual provider · Type 1 NPI

Samantha Hustrulid

Addiction (Substance Use Disorder) Counselor · Anchorage, AK

NPI number 1194384099 Active

Practice location

2600 Cordova St
Anchorage, AK 99503-2745

Mailing address

2600 Cordova St Ste 101
Anchorage, AK 99503-2745

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1194384099

Samantha Hustrulid's National Provider Identifier is 1194384099, issued on Jun 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anchorage, AK. The record was last updated on Jul 22, 2021.