Individual
MISS SAMANTHA LEIGH SHEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, NCC
Contact information
Practice address
1718 S LONGMORE UNIT 46, MESA, AZ 85202-5769
(319) 360-3039
Mailing address
1718 S LONGMORE UNIT 46, MESA, AZ 85202-5769
(319) 360-3039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-20831
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-20831
AZ
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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