Individual
SAMANTHA JEAN WEDDERBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
233 BLUE HAW DR, MONCKS CORNER, SC 29461-5285
(516) 366-1002
Mailing address
233 BLUE HAW DR, MONCKS CORNER, SC 29461-5285
(516) 242-5167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014353
NY
101YM0800X
Mental Health Counselor
10014
SC
Other
Enumeration date
01/26/2024
Last updated
04/29/2025
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