Individual provider · Type 1 NPI
Jennifer Hastings Samuelson
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1740981703
Active
Practice location
2403 Professional Dr
Santa Rosa, CA 95403-3007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740981703
Jennifer Hastings Samuelson's National Provider Identifier is 1740981703, issued on Mar 15, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 15, 2023.