Samantha Abdulla
Counselor, Addiction (Substance Use Disorder) in Detroit, MI. Individual provider (NPI-1).
NPI number1558808246
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1558808246
- Entity type
- Individual (NPI-1)
- Name
- Samantha Abdulla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2017
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
7220 Gratiot AveDetroit, MI 48213-2816
Phone 313-922-3333
Mailing address
1420 Hanover Ave Apt 3fMeriden, CT 06451-6237
Phone 313-740-0774
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