Individual
DR. MICHAELE C SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7700 OLD BRANCH AVE STE E103, CLINTON, MD 20735-1628
(301) 877-1200
Mailing address
7700 OLD BRANCH AVE STE E103, CLINTON, MD 20735-1628
(301) 877-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12372
MD
101YM0800X
Mental Health Counselor
LGP11139
MD
Other
Enumeration date
05/11/2021
Last updated
02/03/2022
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