Individual
SAMANTHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, CRC
Contact information
Practice address
135 MOCKSVILLE AVE, SALISBURY, NC 28144-3323
(704) 237-4240
Mailing address
135 MOCKSVILLE AVE, SALISBURY, NC 28144-3323
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A16674
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A16674
NCBLCMHC
NC
Enumeration date
01/09/2018
Last updated
07/12/2021
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