Individual
TONYA DENISE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
210 N HIGHWAY 27 STE 4, CLERMONT, FL 34711-2411
(352) 708-6283
Mailing address
1557 BRANDEN WAY, RICHMOND HILL, GA 31324-6285
(912) 549-0309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001805
GA
Other
Enumeration date
11/30/2020
Last updated
07/08/2024
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