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MS. SHARON DORA SAMSELL LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1205843679

Individual Registrant:
MS. SHARON DORA SAMSELL LMHC
Gender: F
Sole Proprietor

Location and contact information for practice:
7062 N COUNTY ROAD 725 E  BAINBRIDGE, IN 46105-9423 US
Tel: 765-522-1526  Fax: --

Contact information for business:
7062 N COUNTY ROAD 725 E  BAINBRIDGE, IN 46105-9423 US
Tel: 765-522-1526  Fax: --

Registration Information:
NPI: 1205843679
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
IN39001052A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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