Samantha Maxwell, BA
NPI #1063809929 in San Rafael, California
Provider Information
- NPI Number
- 1063809929
- Entity Type
- Individual
- Name
- Samantha Maxwell, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BA
- Enumeration Date
- Apr 17, 2015
- Last Updated
- Apr 17, 2015
Practice Location
- Address
- 1601 2ND ST
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-2712
- Phone
- (415) 456-6655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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