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NPI Code Detail

MEDICARE: SAM MINTZ

MEDICARE: SAM MINTZ
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
1101Y00000XCounselorCAAR.CG.70136174WA

General Provider Information

NPI Number : 1902737232
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM MINTZ
Provider Business Mailing Address
First Line : 737 FAWCETT AVE
Second Line :
City : TACOMA
State : WA
Zip : 98402-5503
Country : US
Telephone Number : 253-396-5800
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S PROCTOR ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-2047
Country : US
Telephone Number : 253-396-5937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ SAM MINTZ ” Practice Location

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