Individual
SAMANTHA DANA MAIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1620 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-8177
Mailing address
1620 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-8177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11464
SC
Other
Enumeration date
04/17/2024
Last updated
11/04/2025
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