Individual
MS. SAMANTHA CHEYENNE-DAHL MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14247 W CALLE LEJOS, SURPRISE, AZ 85387-1839
(623) 261-9502
Mailing address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22689
AZ
Other
Enumeration date
07/20/2020
Last updated
10/15/2024
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