Individual
DIANNE MARIE SAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
484 HEVERN DR, WHEATON, IL 60189-7327
(630) 251-5644
Mailing address
484 HEVERN DRIVE, WHEATON, IL 60189
(630) 251-5644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007910
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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