Samuel Washington

NPI #1134681133 in Kingston, New York

Provider Information

NPI Number: 1134681133
Entity Type: Individual
Name: Samuel Washington
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 1, 2019
Last Updated: Apr 1, 2019

Practice Location

Address: 139 CORNELL ST
City: Kingston
State: New York
ZIP Code: 12401-3633
Phone: (845) 338-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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