Individual provider · Type 1 NPI
Clara R. Sam, CT
Addiction (Substance Use Disorder) Counselor · Tetlin, AK
NPI number
1861780652
Active
Practice location
Tetlin Village Road
Tetlin, AK 99780
Fax (907) 324-2136
Mailing address
PO Box 597
Tok, AK 99780-0597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1861780652
Clara R. Sam, CT's National Provider Identifier is 1861780652, issued on Jul 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tetlin, AK. The record was last updated on Jul 14, 2011.