Individual provider · Type 1 NPI
Samantha Jane Carroll, CDP
Addiction (Substance Use Disorder) Counselor · Bellevue, WA
NPI number
1750624938
Active
Practice location
1412 140th Pl NE
Bellevue, WA 98007-3915
Fax (425) 747-8348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDP60115415 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750624938
Samantha Jane Carroll, CDP's National Provider Identifier is 1750624938, issued on Apr 5, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellevue, WA. The record was last updated on Apr 5, 2013.