Individual
SAMANTHA LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
517 LARKFIELD RD, EAST NORTHPORT, NY 11731-4208
(631) 229-7832
Mailing address
17 JOHN ST, SMITHTOWN, NY 11787-1221
(516) 589-2030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NY
221700000X
Art Therapist
Primary
05001861
NY
Other
Enumeration date
09/07/2016
Last updated
06/11/2019
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