Individual
CASSIE JANE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, LPC
Contact information
Practice address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(312) 766-6780
Mailing address
5001 KNOB HILL RD # 207, AZLE, TX 76020-6801
(254) 485-6798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16327
TX
101YM0800X
Mental Health Counselor
Primary
88906
TX
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/27/2022
Last updated
08/02/2024
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