Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Samantha Kelly Anderson, CDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164994109

MS. Samantha Kelly Anderson, CDPT is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713
Phone: (360) 397-8246
Fax: (360) 397-8250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO60912422 (WA)

Record details

NPI number1164994109
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT
Sole proprietorNo
NPI enumeratedDecember 31, 2018
Last updated in NPPESDecember 31, 2018

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