Individual
SAMANTHA GIANNOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
2601 13TH ST, PORT HURON, MI 48060-6546
(810) 987-9100
Mailing address
2601 13TH ST, PORT HURON, MI 48060-6546
(810) 987-9100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024032
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2024
Last updated
02/24/2025
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