Individual provider · Type 1 NPI

Samuel Dudley

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1669074142 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

175 other providers at this address

Other addiction (substance use disorder) counselor providers in Bloomington

See all in Bloomington →

About NPI 1669074142

Samuel Dudley's National Provider Identifier is 1669074142, issued on Nov 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Nov 10, 2020.