Samantha La Wilson, CDPT

NPI #1568983252 in Enumclaw, Washington

Provider Information

NPI Number: 1568983252
Entity Type: Individual
Name: Samantha La Wilson, CDPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDPT
Enumeration Date: Jul 3, 2017
Last Updated: Jul 3, 2017

Practice Location

Address: 28115 SE 451ST ST
City: Enumclaw
State: Washington
ZIP Code: 98022-9204
Phone: (360) 640-5312

Specialties & Taxonomy Codes

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

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