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Individual

DEREK J SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
101 JACKSON ST FL 4, LOWELL, MA 01852-2103
(978) 459-8656
Mailing address
16 CONGRESS ST, DRACUT, MA 01826-6006
(781) 658-0452

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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