Samantha Polk
Addiction Counselor (Substance Use Disorder)
1906 Bataan Rd Apt 1
Redondo Beach
, California 90278-1330
Samantha Polk
Addiction Counselor (Substance Use Disorder)
1906 Bataan Rd Apt 1
Redondo Beach
, California 90278-1330
(818) 439-4301
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Samantha Polk
- 1906 Bataan Rd Apt 1
- Redondo Beach, CA
- Zip : 90278-1330
- Phone : (818) 439-4301
Second Address
- Samantha Polk
- 1906 Bataan Rd Apt 1
- Redondo Beach, CA
- Zip : 90278-1330
- Phone : (818) 439-4301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003435041 |
|---|---|
| Provider Name | Samantha Polk |
| First Address | Redondo Beach, CA 90278-1330 |
| Second Address | Redondo Beach, CA 90278-1330 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2020 |
| Last Update Date | 09/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.