Individual provider · Type 1 NPI

Samantha Joan Schullo, MSW, LGSW, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1942929567 Active

Practice location

2118 Blaisdell Ave
Minneapolis, MN 55404-2415

Call (612) 286-0473 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306452 (MN)

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

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About NPI 1942929567

Samantha Joan Schullo, MSW, LGSW, LADC's National Provider Identifier is 1942929567, issued on Aug 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 25, 2022.