Individual
SAMANTHA JO EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
346 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 230-6166
Mailing address
783 LAWRENCE HAYES RD, CANEYVILLE, KY 42721-9131
(270) 230-6166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287909
KY
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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