SAMANTHA JO BRAY CDCA
NPI 1184496960
Counselor - Addiction (Substance Use Disorder) in Columbus, OH
Active since October 25, 2023
About Samantha Jo Bray Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JO BRAY CDCA (NPI 1184496960) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (CDCA.183598) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1184496960
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA JO BRAYCredential: CDCA
Location Address2100 STELLA CTColumbus, OH 43215-1011
Mailing Address2100 Stella Court, Lenora IsaacsColumbus, OH 43215-1011 · (614) 252-8402
Phone(614) 252-8402
Sole ProprietorNo
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1184496960 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.183598
2100 STELLA CT, Columbus, OH 43215
Other Names 1
Former Name (1)Samantha J Mckenzie
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
2100 STELLA CT
COLUMBUS, OH 43215
COLUMBUS, OH 43215
Counselor (Addiction (Substance Use Disorder))
2100 STELLA CT
COLUMBUS, OH 43215
COLUMBUS, OH 43215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184496960, enumerated as an "individual" on October 25, 2023.
The provider is located at 2100 STELLA CT COLUMBUS, OH 43215 and the phone number is (614) 252-8402.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
