Individual
SAMANTHA SMITH GUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
311 LYNCH ST, EDGEFIELD, SC 29824-1237
(706) 250-0740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00130500
NJ
101YP2500X
Professional Counselor
Primary
7574
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
12/11/2009
Last updated
03/06/2023
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