Individual
SAMANTHA CHOSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0200
—
SC
Enumeration date
12/11/2013
Last updated
12/11/2013
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