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Samantha Sullivan — NPI 1891091906, Santa Rosa, NM | NPI Central

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NPI 1891091906

IndividualActive

Samantha Sullivan

NPI 1891091906 · Counselor · Santa Rosa, NM

Provider details

NPI number: 1891091906
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Practice location

501 S 4th St

Santa Rosa, NM 88435-2417

Phone: (575) 472-0745

Fax: (575) 472-0746

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

Po Box 28220

Santa Fe, NM 87592-8220

Registry dates

Enumerated: 2011-02-07
Last updated: 2011-02-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.