Individual
SAMANTHA-JO DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBS, NCC
Contact information
Practice address
150 PLEASANT DR STE 201, ALIQUIPPA, PA 15001-1360
(724) 888-2097
(724) 888-2098
Mailing address
145 LYNN HAVEN DR, BEAVER, PA 15009-1335
(724) 664-7445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC018854
PA
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
04/21/2026
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