# SAMANTHA JOANN DEGAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093433856
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0108-T | KS | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 01130 | KS | Yes |

## Other

- **Enumeration date:** 08/18/2022
- **Last updated:** 08/14/2023