Individual
DAVINA G SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2300
(229) 386-3221
Mailing address
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2300
(229) 386-3221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008789
GA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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