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Individual

MS. KIARA LATOYA SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDP

Contact information

Practice address
20 WILDFIRE LN, NEW CASTLE, DE 19720-3859
(302) 634-0940
Mailing address
100 W 10TH ST STE 9, WILMINGTON, DE 19801-6614

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1573
DE
101YM0800X
Mental Health Counselor
Primary
PC-0011502
DE
101YP2500X
Professional Counselor
CD-0000087
DE

Other

Enumeration date
10/16/2017
Last updated
08/29/2024
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