Individual provider · Type 1 NPI

Samantha Wilson

Mental Health Counselor · Lafayette, CO

NPI number 1700287794 Active

Practice location

1455 Dixon Avenue
Lafayette, CO 80026-6806

Call (303) 443-8500 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700287794

Samantha Wilson's National Provider Identifier is 1700287794, issued on Sep 9, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, CO. The record was last updated on Oct 3, 2021.