Individual provider · Type 1 NPI

Samantha Vitiello, MA, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1699302273 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Call (651) 254-4786 Map

Mailing address

445 Etna St
St. Paul, MN 55106-5857

Other practice locations

  • 445 Etna St, St. Paul, MN 55106-5857 · (651) 254-4804

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304915 (MN)

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

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About NPI 1699302273

Samantha Vitiello, MA, LADC's National Provider Identifier is 1699302273, issued on Mar 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Mar 27, 2020.