Individual
DEANA THAXTON SAMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4501 MACCORKLE AVENUE SE, CHARLESTON, WV 25304-2530
(304) 419-0177
Mailing address
864 OLD TUPPERS CREEK RD, CHARLESTON, WV 25312-5456
(304) 419-0177
(304) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1972
WV
Other
Enumeration date
03/25/2017
Last updated
02/16/2020
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