Jason Martin Samudio
Jason Martin Samudio is an Addiction (Substance Use Disorder) Counselor in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.
- Licensed in
- MN
- In the registry since
- 2019
Practice location Address checks out
13603 80th Cir NMaple Grove, MN 55369-8961
Phone: (763) 274-3120
Fax: (763) 274-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 305317 (MN) |
|---|
Record details
| NPI number | 1215494158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 27, 2019 |
| Last updated in NPPES | February 27, 2019 |
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