Individual
EDWARD L SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
2079 GEORGIAN WAY # A, LEXINGTON, KY 40504-3052
(859) 552-5600
Mailing address
PO BOX 11851, LEXINGTON, KY 40578-1851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
267979
KY
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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