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Individual

SAMANTHA ADAMS PEACHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1757 N KIMBALL AVE STE 202, CHICAGO, IL 60647-4805
(312) 463-9772
Mailing address
935 W AGATITE AVE APT 3, CHICAGO, IL 60640-2706
(216) 970-7488

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000946
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208.000946
ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST
IL
Enumeration date
04/29/2022
Last updated
04/29/2022
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