Individual
SAMANTHA JOANN DEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 SKYVUE LN, MANHATTAN, KS 66502-3178
(785) 320-5505
(785) 320-5517
Mailing address
2304 SKYVUE LN, MANHATTAN, KS 66502-3178
(785) 320-5505
(785) 320-5517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0108-T
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01130
KS
Other
Enumeration date
08/18/2022
Last updated
08/14/2023
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