Individual
SAMANTHA MARIE GILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
(308) 217-4277
Mailing address
6291 KEITH RD, ALLIANCE, NE 69301-5253
(308) 760-5041
(308) 217-4277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11187
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1936994
—
NE
Enumeration date
06/22/2017
Last updated
06/22/2017
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