Individual
SAMANTHA FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 878-8248
Mailing address
4008 PARK DR SW, OLYMPIA, WA 98512-5617
(571) 285-6720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
03/11/2026
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