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CHARLENE RAE SAM CDP
NPI 1235343245
Counselor - Addiction (Substance Use Disorder) in Nespelem, WA

Active since May 09, 2007
1 COLVILLE ST, NESPELEM, WA 99155(509) 634-2727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlene Rae Sam Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE RAE SAM CDP (NPI 1235343245) is an individual addiction (substance use disorder) provider in Nespelem, Washington, licensed in Washington (CP00001142) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1235343245
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLENE RAE SAMCredential: CDP
Location Address1 COLVILLE STNespelem, WA 99155-0150
Mailing Address1 Colville StNespelem, WA 99155-0150 · (509) 634-2727
Phone(509) 634-2727
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235343245 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 WA · CP00001142
1 COLVILLE ST, Nespelem, WA 99155
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Other Identifiers 1

Medicaid1992957WA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LLOYD BURTON HANNEMANN MA MFT
Counselor (Mental Health)
1 COLVILLE ST
NESPELEM, WA 99155
Okanogan County (509) 634-2611
DR. JOSE JAVIER GOMEZ PHD
Psychologist (Clinical)
1 COLVILLE ST
NESPELEM, WA 99155
Okanogan County (509) 634-2642

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 Charlene Sam's NPI number?

The NPI number for Charlene Sam is 1235343245. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Charlene Sam located?

Charlene Sam practices at 1 Colville St, Nespelem, WA 99155. The listed phone number is (509) 634-2727.

What is Charlene Sam'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 Charlene Sam was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.