person
Samantha La Wilson, CDPT
Addiction (Substance Use Disorder) Counselor in Enumclaw, Washington
NPI 1568983252

Samantha La Wilson is an Addiction (Substance Use Disorder) Counselor based in Neah Bay, WA and is specialized in Addiction (Substance Use Disorder). Samantha La Wilson practices in Enumclaw, WA and has the professional credentials of CDPT. The NPI Number for Samantha La Wilson is 1568983252 and holds a License No. CO60757690 (Washington).

The current practice location address for Samantha La Wilson is 28115 Se 451St St, Enumclaw, WA and can be reached out via phone at 360-640-5312.

Location: 28115 Se 451St St, Enumclaw, WA, 98357
person
Provider Profile Details
NPI Number
1568983252
Provider Name
Samantha La Wilson
Credential
CDPT
Provider Entity Type
Individual
Gender
Female
Address
28115 Se 451St St, Enumclaw, WA, 98357
Phone Number
360-640-5312
Fax Number
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28115 Se 451St St
City
State
Zip
98022-9204
Phone Number
360-640-5312
Fax Number
person
Provider Business Mailing Address Details
Address
28115 Se 451St St
City
State
Zip
98022-9204
Phone Number
360-640-5312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60757690 (Washington)
Definition
Definition to come...
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