Individual provider · Type 1 NPI
Kimtoiya Oneal Sam, LCAC
Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI number
1639622467
Active
Practice location
3430 Cork Bend Dr
Indianapolis, IN 46239-7669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87000037A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1639622467
Kimtoiya Oneal Sam, LCAC's National Provider Identifier is 1639622467, issued on Jul 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 28, 2016.