JASON MARTIN SAMUDIO
NPI 1215494158
Counselor - Addiction (Substance Use Disorder) in Maple Grove, MN
About Jason Martin Samudio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON MARTIN SAMUDIO (NPI 1215494158) is an individual addiction (substance use disorder) provider in Maple Grove, Minnesota, licensed in Minnesota (305317) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
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.
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jason Samudio's NPI number?
The NPI number for Jason Samudio is 1215494158. It was assigned to this individual provider in the NPPES registry on February 27, 2019.
Where is Jason Samudio located?
Jason Samudio practices at 13603 80th Cir N, Maple Grove, MN 55369. The listed phone number is (763) 274-3120.
What is Jason Samudio's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Jason Samudio was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.