Individual
STEPHANIE J SAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RMHCI
Contact information
Practice address
1680 SE LYNGATE DR STE 204, PORT ST LUCIE, FL 34952-4300
(772) 226-0383
(772) 237-5496
Mailing address
9309 WINDRIFT CIR, FORT PIERCE, FL 34945-3303
(954) 642-6224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH20627
FL
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
04/22/2024
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