Individual
SAMANTHA JO ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
285 W 800 S, ROOSEVELT, UT 84066-3707
(435) 725-6300
(435) 725-6325
Mailing address
285 W 800 S, ROOSEVELT, UT 84066-3707
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/05/2019
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