Individual provider · Type 1 NPI

Samantha Waller, CDCA

Addiction (Substance Use Disorder) Counselor · Holland, OH

NPI number 1750084786 Active

Practice location

6202 Trust Dr
Holland, OH 43528-8425

Call (419) 824-8462 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X183892 (OH)

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

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About NPI 1750084786

Samantha Waller, CDCA's National Provider Identifier is 1750084786, issued on Mar 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holland, OH. The record was last updated on Mar 27, 2023.