Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA JOANN WYNN, SUDPT
ActiveSAMANTHA JOANN WYNN, SUDPT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CUSICK, Washington. NPI 1720628167 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CUSICK, WA
Registration Details
- NPI Number
- 1720628167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2020 (6.575326749282 yrs)
- Last Updated
- Jan 14, 2020
- License
-
CO60982388 (WA)
Practice Information
- Address
-
808 COMMUNITY HALL RDCUSICK, WA, 991196034Browse WA providers · Browse ZIP 99119
- Phone
- 5094477193
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.