National Provider Identifier
Samantha Joann Wynn, SUDPT
Samantha Joann Wynn, SUDPT is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Cusick, WA and a listed phone number of (509) 447-7193.
Source: public NPPES record, last updated January 14, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1720628167
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 14, 2020
- Last Updated
- January 14, 2020
Practice Location
- 808 Community Hall RD
- Cusick, WA 99119-6034
Phone: (509) 447-7193
Mailing Address
- 934 S Garfield RD
- Airway Heights, WA 99001-9030
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Samantha Wynn is a Washington substance use disorder professional trainee practicing in Cusick. Public records do not show a separate health-system biography, faculty role, research profile, or board-certification listing, so her clearest supported professional background is in addiction counseling services in northeastern Washington.
Full Record
- NPI
- 1720628167
- Entity Type
- Individual
- Last Name
- Wynn
- First Name
- Samantha
- Middle Name
- Joann
- Credential
- SUDPT
- Mailing Street Address
- 934 S Garfield RD
- Mailing City
- Airway Heights
- Mailing State
- WA
- Mailing ZIP Code
- 99001-9030
- Mailing Country
- US
- Mailing Phone
- (509) 447-7193
- Practice Street Address
- 808 Community Hall RD
- Practice City
- Cusick
- Practice State
- WA
- Practice ZIP Code
- 99119-6034
- Practice Country
- US
- Practice Phone
- (509) 447-7193
- Enumeration Date
- January 14, 2020
- Last Updated
- January 14, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 14, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)