Individual
MRS. SAMMANTHA JO ANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1920 BEDFORD ST, APT 10, DURHAM, NC 27707-2009
(570) 809-5131
Mailing address
1920 BEDFORD ST, APT 10, DURHAM, NC 27707-2009
(570) 809-5131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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