Individual
SAMANTHA ANN AVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
7000 HOUSTON RD STE 2, FLORENCE, KY 41042-4874
(513) 277-1013
(859) 993-6958
Mailing address
1198 CROSSPOINTE DR, HEBRON, KY 41048-7330
(513) 277-1013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
172816
KY
101YP2500X
Professional Counselor
Primary
172816
KY
Other
Enumeration date
09/02/2014
Last updated
03/28/2024
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