Individual
DERYNNE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
20017 102ND CT NE, BOTHELL, WA 98011-2456
(714) 794-7574
Mailing address
20017 102ND CT NE, BOTHELL, WA 98011-2456
(714) 794-7574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH61432575
WA
Other
Enumeration date
02/04/2021
Last updated
07/02/2024
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