Individual
SAMANTHA MELISSA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3288 KINGWOOD PIKE, REEDSVILLE, WV 26547-7134
(304) 692-3729
Mailing address
3288 KINGWOOD PIKE, REEDSVILLE, WV 26547-7134
(304) 692-3729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2404
WV
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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