Individual
SAMANTHA M ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
2680 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-8898
(270) 401-1157
Mailing address
2680 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-8898
(270) 401-1157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
247285
KY
Other
Enumeration date
10/19/2016
Last updated
02/02/2022
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