Individual
SAMANTHA FAITH MARLAR-ENBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMHC
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-7314
Mailing address
1321 QUEEN ANNE AVE N, # 102, SEATTLE, WA 98109-5719
(206) 588-6848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60540859
WA
Other
Enumeration date
01/06/2016
Last updated
06/27/2019
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