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

Samantha Joann Wynn, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720628167

Samantha Joann Wynn, SUDPT is an Addiction (Substance Use Disorder) Counselor in Cusick, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020

Practice location Address checks out

808 Community Hall Rd
Cusick, WA 99119-6034
Phone: (509) 447-7193
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 CO60982388 (WA)

Record details

NPI number1720628167
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020