Individual
SAMANTHA H NORDVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3306 W CATALINA DR, PHOENIX, AZ 85017-5291
(602) 353-0703
(602) 353-0715
Mailing address
4747 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-10724
AZ
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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