Individual provider · Type 1 NPI

Samantha Nixon, LISAC

Addiction (Substance Use Disorder) Counselor · Glendale, AZ

NPI number 1760244313 Active

Practice location

14240 N 43rd Ave
Glendale, AZ 85306-4511

Call (602) 263-5242 Map

Fax (602) 595-4434

Mailing address

2002 E Osborn Rd
Phoenix, AZ 85016-7236

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15403 (AZ)

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

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About NPI 1760244313

Samantha Nixon, LISAC's National Provider Identifier is 1760244313, issued on Jan 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, AZ. The record was last updated on Jan 29, 2024.