Individual
MISS SAMANTHA NICOLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LPCC
Contact information
Practice address
1907 E PITTSBURG CHURCH RD, LONDON, KY 40741-9047
(606) 389-5269
Mailing address
1907 E PITTSBURG CHURCH RD, LONDON, KY 40741-9047
(606) 389-5269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
164139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100339080
—
KY
Enumeration date
12/03/2012
Last updated
08/23/2024
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