Individual
SAMANTHA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
3902 MILWAUKEE STREET, PO BOX #14705, MADISON, WI 53714
(262) 251-1112
Mailing address
3902 MILWAUKEE ST, PO BOX #14705, MADISON, WI 53714
(262) 251-1112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7954226
WI
Other
Enumeration date
08/13/2024
Last updated
02/04/2025
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