Individual
SAMANTHA FAITH CHESSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC, PLMHP
Contact information
Practice address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 455-8303
Mailing address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 455-8303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-2122
NE
101YM0800X
Mental Health Counselor
Primary
13696
NE
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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