Individual
MRS. REBECCA GRACE SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAPC, NCC
Contact information
Practice address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
(678) 749-7600
Mailing address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009167
GA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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