Individual provider · Type 1 NPI
Samantha Gail Thoreson, IADC
Addiction (Substance Use Disorder) Counselor · Spirit Lake, IA
NPI number
1376200840
Active
Practice location
703 16th St
Spirit Lake, IA 51360-1623
Fax (712) 566-5229
Mailing address
PO Box 36
Estherville, IA 51334-0036
Other practice locations
- 1820 Central Ave, Estherville, IA 51334-2409 · (800) 592-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303106 (MN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21R022 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Spirit Lake
About NPI 1376200840
Samantha Gail Thoreson, IADC's National Provider Identifier is 1376200840, issued on Nov 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spirit Lake, IA. The record was last updated on Nov 19, 2021.