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MS. SHARON DORA SAMSELL LMHC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1205843679
Individual Registrant:MS. SHARON DORA SAMSELL LMHC
Gender: F
Sole Proprietor
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: --
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: --
Tel: 765-522-1526 Fax: --
Registration Information:
NPI: 1205843679
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | IN | 39001052A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
