SAMANTHA VITIELLO

SAINT PAUL, MN
NPI1699302273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304915)
Enumeration Date2020-03-24
Last Update Date2020-03-27
Business Address
SAMANTHA VITIELLO MA, LADC
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-4786
Mailing Address
SAMANTHA VITIELLO MA, LADC
445 ETNA ST
SAINT PAUL, MN 55106-5857
Phone number: 651-254-4804
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