Individual
SAMANTHA BLAIR THURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFT-I, LADC
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01890-L
NV
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/16/2018
Last updated
07/14/2020
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