Sandra Lea Samons in Ann Arbor - Addiction (substance Use Disorder)

Sandra Lea Samons - NPI 1376536367

Sandra Lea Samons is a Addiction (substance Use Disorder) in Ann Arbor, Michigan. Sandra Lea Samons practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra Lea Samons is 1376536367. The last update date is 2023-05-16.

Sandra Lea Samons's current location address is 1480 Shevchenko Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7346637871. The mailing address for Sandra Lea Samons is 1480 Shevchenko Dr, Ann Arbor, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Lea Samons
Address 1480 Shevchenko Dr, Ann Arbor, Michigan
Phone Number 7346637871
Fax Number
Sole Proprietor Y
Credentials PH.D., M.S

NPI Number Detail

NPI Number 1376536367
Provider Enumeration Date 2005-08-25
Last Updated Date 2023-05-16

Provider Mailing Address Detail

Address 1480 Shevchenko Dr
City Ann Arbor
State Michigan (MI)
Post Code 481039001
Phone Number 7346637871
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2-00035
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8499 MI MI ASSC OF A/DA COUNSELOR
4101005512 MI LMFT
2-00035 MI MI CERT. BOARD FOR ADDIC
6801013579 MI REGISTERED CERTIFIED S. W

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FAQs about Sandra Lea Samons

What is the unique 10-digit identifier code assigned to Sandra Lea Samons by the Centers for Medicare & Medicaid Services?

The Sandra Lea Samons has been issued the NPI (National Provider Identifier) 1376536367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Sandra Lea Samons is physically located?

The Sandra Lea Samons is physically situated at the following address: 1480 Shevchenko Dr, Ann Arbor, MI, 481039001.

What is Sandra Lea Samons's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sandra Lea Samons's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

When did Sandra Lea Samons receive its 1376536367 assignment?

The Sandra Lea Samons was assigned its 1376536367 on 2005-08-25, which is the date when this unique identifier was issued to the organization.

As of what date were the Sandra Lea Samons's details last updated?

The information pertaining to the Sandra Lea Samons, including its address, specialty, and other details, was most recently updated on 2023-05-16.

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