Individual
SAMANTHA MARIE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19402
AZ
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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