Individual provider · Type 1 NPI

Samantha Nancy Henry

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1659897304 Active

Practice location

844 Pico Blvd
Santa Monica, CA 90405-1325

Mailing address

909 Pico Blvd
Santa Monica, CA 90405-1326

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 1659897304

Samantha Nancy Henry's National Provider Identifier is 1659897304, issued on Aug 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 15, 2017.