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Individual

PENNY SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC, MLADC, LPC

Contact information

Practice address
1465 HOOKSETT RD UNIT 227, HOOKSETT, NH 03106-1877
(720) 485-2777
Mailing address
1465 HOOKSETT RD UNIT 227, HOOKSETT, NH 03106-1877
(720) 485-2777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
394
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7204852777
NH
Enumeration date
03/27/2020
Last updated
03/27/2020
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