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Individual
SHAFINAH SAMSUDIN
Active
Individual
SHAFINAH SAMSUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102755
VA
101YM0800X
Mental Health Counselor
0701005338
VA
101YP2500X
Professional Counselor
Primary
0701005338
VA
Other
Enumeration date
04/12/2013
Last updated
03/17/2018
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