MEDICARE: SAMANTHA DAHNKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0000355	CO
2	101YP2500X	Professional Counselor	0021570	CO

General Provider Information

NPI Number	:	1437982220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA DAHNKE

Provider Business Mailing Address
First Line	:	2410 PTARMIGAN LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1428
Country	:	US
Telephone Number	:	813-389-7860
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1567
Country	:	US
Telephone Number	:	312-736-2060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	06/01/2026

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Directions to “ SAMANTHA DAHNKE ” Practice Location

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