Individual
ANASTHASIA L. SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 5TH AVE S STE 525, LA CROSSE, WI 54601-9200
(608) 797-6327
Mailing address
2658 CASTLE PL, LA CROSSE, WI 54601-6492
(608) 797-6327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4315226
WI
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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