SAMUEL ALAN ZACK CSC-AD NCC ADS NPI 1457739112

NPI Information

NPI: 1457739112
Provider Name: SAMUEL ALAN ZACK, CSC-AD, NCC, ADS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
981 ROLLINS AVE
ROCKVILLE, MD
ZIP 20852
Phone: (240) 777-1683
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Samuel Alan Zack, CSC-AD, NCC, ADS is an addiction (substance use disorder) counselor in Rockville, MD. Samuel Alan Zack, CSC-AD, NCC, ADS NPI is 1457739112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

981 ROLLINS AVE
ROCKVILLE, MD
ZIP 20852-615
Phone: (240) 777-1683
Fax: (240) 777-4169

The enumeration date for this NPI number is 5/14/2015 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	SC0938	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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