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Individual
SAMANTHA VICTORIA STANICH
Active
Individual
SAMANTHA VICTORIA STANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, C-SOT, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
14156
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
14156
CA
103K00000X
Behavior Analyst
1396179545
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/22/2015
Last updated
08/08/2024
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