Individual
SAMANTHA LEE BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
123 S MAIN ST STE 110B, NEWTOWN, CT 06470-5313
(203) 628-6784
Mailing address
123 S MAIN ST STE 110B, NEWTOWN, CT 06470-5313
(203) 628-6784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004359
CT
Other
Enumeration date
01/27/2021
Last updated
07/24/2023
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