Individual
SAMANTHA JU YOUNG NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1065 RUGGLESTONE WAY, JOHNS CREEK, GA 30097-7834
(503) 855-9494
Mailing address
1065 RUGGLESTONE WAY, JOHNS CREEK, GA 30097-7834
(503) 855-9494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC45002
CA
106H00000X
Marriage & Family Therapist
Primary
T2909
OR
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
03/20/2007
Last updated
01/16/2025
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