Individual
AMY LYNN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
614 DIVISION ST # 19, PORT ORCHARD, WA 98366-4614
(360) 337-5729
Mailing address
614 DIVISION ST # 19, PORT ORCHARD, WA 98366-4614
(360) 337-5729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60826471
WA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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