Individual
SAMANTHA VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
191 LAMAR HALEY PKWY, CANTON, GA 30114-8019
(470) 979-0049
Mailing address
206 NORTHBROOKE CT, WOODSTOCK, GA 30188-2195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC016380
GA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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