Samantha Flora, CADC I
Counselor, Addiction (Substance Use Disorder) in Roseburg, OR. Individual provider (NPI-1).
NPI number1962058883
StatusActive
Last updated in NPPESSep 22, 2021
Details
- NPI
- 1962058883
- Entity type
- Individual (NPI-1)
- Name
- Samantha Flora
- Credential
- CADC I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2019
- Certification date
- Sep 22, 2021
- Last updated
- Sep 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 7941195 | OR | Yes |
Practice location
2575 Nw Kline StRoseburg, OR 97471-8827
Phone 541-673-3504
Mailing address
2575 Nw Kline StRoseburg, OR 97471-8827
Phone 541-673-3504
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