Individual
SAMANTHA NIEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 GADSDEN ST, SUITE 204, COLUMBIA, SC 29201-6400
(803) 254-9767
Mailing address
207 DEEP ALY, LEXINGTON, SC 29072-6710
(803) 528-9353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6481
SC
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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