Individual
ALLISON JO SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
601 WILLIAMS DR, NITRO, WV 25143-1536
(304) 553-2663
Mailing address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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