Individual
SAMANTHA JO VENTEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 S MAPLE ST, CARROLL, IA 51401-3100
(712) 792-2991
Mailing address
1911 CRESTVIEW DR, CARROLL, IA 51401-3559
(712) 210-4477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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