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Individual

SAMANTHA ANN JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1146 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 797-2110
(301) 671-1485
Mailing address
324 E ANTIETAM ST STE 301, HAGERSTOWN, MD 21740-5768
(301) 797-2110
(301) 671-1485

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14186
MD
101YM0800X
Mental Health Counselor
LGP11747
MD

Other

Enumeration date
09/16/2021
Last updated
10/03/2023
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