Individual
SAMANTHA CARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
17505 N 79TH AVE STE 314, GLENDALE, AZ 85308-8730
(623) 866-3375
Mailing address
16482 N 67TH LN, PEORIA, AZ 85382-3979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20738
AZ
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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