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Individual
SAMANTHA LESLIE MATESIC
Active
Individual
SAMANTHA LESLIE MATESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701016054
VA
101YM0800X
Mental Health Counselor
MH16522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055493-00
—
FL
Enumeration date
07/16/2019
Last updated
08/05/2026
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