IndividualActive
Samantha Wynn, SUDPT
NPI 1720628167 · Addiction (Substance Use Disorder) Counselor · Cusick, WA
Provider details
- NPI number
- 1720628167
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- No
- License
- CO60982388 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
808 Community Hall Rd
Cusick, WA 99119-6034
Phone: (509) 447-7193
Approximate (ZIP-level) locationGet directions
Mailing address
934 S Garfield Rd
Airway Heights, WA 99001-9030
Registry dates
- Enumerated
- 2020-01-14
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.