SAMANTHA CAROLE COLLINS CAADAC RRW
NPI 1609206572
Counselor - Addiction (Substance Use Disorder) in Canoga Park, CA
Active since November 13, 2013
22110 ROSCOE BLVD, SUITE # 204, CANOGA PARK, CA 91304(818) 713-8700(818) 713-8585 Get Directions Write a Review
About Samantha Carole Collins Caadac Rrw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CAROLE COLLINS CAADAC RRW (NPI 1609206572) is an individual addiction (substance use disorder) provider in Canoga Park, California and active in the NPI registry since November 2013.
NPPES Registry Identity
NPI1609206572
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA CAROLE COLLINSCredential: CAADAC RRW
Location Address22110 ROSCOE BLVD, SUITE # 204Canoga Park, CA 91304-3845
Mailing Address22110 Roscoe Blvd, Suite # 204Canoga Park, CA 91304-3845 · (818) 713-8700 · Fax (818) 713-8585
Phone(818) 713-8700
Fax(818) 713-8585
Sole ProprietorNo
Enumeration DateNovember 13, 2013
✔ NPI 1609206572 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
22110 ROSCOE BLVD, Canoga Park, CA 91304
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.
Nurse Practitioner (Women's Health)
22110 ROSCOE BLVD, SUITE 104
WEST HILLS, CA 91304
WEST HILLS, CA 91304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609206572, enumerated as an "individual" on November 13, 2013.
The provider is located at 22110 ROSCOE BLVD SUITE # 204 CANOGA PARK, CA 91304 and the phone number is (818) 713-8700.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
