Individual provider · Type 1 NPI
Samantha Corinne Boutsianis, CRSW
Addiction (Substance Use Disorder) Counselor · Manchester, NH
NPI number
1710538673
Active
Practice location
206 Jewett St Apt 2B
Manchester, NH 03103-2879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0217 (NH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710538673
Samantha Corinne Boutsianis, CRSW's National Provider Identifier is 1710538673, issued on Sep 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manchester, NH. The record was last updated on Sep 23, 2019.