Individual provider · Type 1 NPI

Tyson Jaye Sam, BA, AA PSYCH

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1982937330 Active

Practice location

400 Gold Ave SW Ste 1200
Albuquerque, NM 87102-3276

Call (505) 200-1654 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2026-0225 (NM)

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

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About NPI 1982937330

Tyson Jaye Sam, BA, AA PSYCH's National Provider Identifier is 1982937330, issued on Sep 16, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 22, 2026.