Individual provider · Type 1 NPI

Derrick Loren Sampson, MS, SUDT, MHP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1679040901 Active

Practice location

12201 Pacific Ave S
Tacoma, WA 98444-5126

Call (253) 536-6425 Map

Mailing address

5001 112th St E
Tacoma, WA 98446-5307

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60749434 (WA)
Mental Health Counselor 101YM0800XCG60832062 (WA)

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

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About NPI 1679040901

Derrick Loren Sampson, MS, SUDT, MHP's National Provider Identifier is 1679040901, issued on Oct 24, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Nov 8, 2019.