Individual
SAMANTHA KISSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34950 CHARDON RD STE 210, WILLOUGHBY HILLS, OH 44094-9162
(216) 505-9536
Mailing address
34950 CHARDON RD STE 210, WILLOUGHBY HILLS, OH 44094-9162
(440) 596-9862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
I.2102575-SUPV
OH
Other
Enumeration date
06/06/2016
Last updated
01/12/2026
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