Individual
SAMANTHA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
14240 N 43RD AVE, GLENDALE, AZ 85306-4511
(602) 263-5242
(602) 595-4434
Mailing address
2002 E OSBORN RD, PHOENIX, AZ 85016-7236
(602) 263-5242
(602) 595-4434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15403
AZ
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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