Individual provider · Type 1 NPI
Samantha Joann Wynn, SUDPT
Addiction (Substance Use Disorder) Counselor · Cusick, WA
NPI number
1720628167
Active
Practice location
808 Community Hall Rd
Cusick, WA 99119-6034
Mailing address
934 S Garfield Rd
Airway Heights, WA 99001-9030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60982388 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1720628167
Samantha Joann Wynn, SUDPT's National Provider Identifier is 1720628167, issued on Jan 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cusick, WA. The record was last updated on Jan 14, 2020.