person
Samantha Maria Bastianelli, LPC
Professional Counselor in Ypsilanti, Michigan
NPI 1023617297

Samantha Maria Bastianelli is a Professional Counselor based in Ypsilanti, MI and is specialized in Professional. Samantha Maria Bastianelli practices in Ypsilanti, MI and has the professional credentials of LPC. The NPI Number for Samantha Maria Bastianelli is 1023617297 and holds a License No. 6401223067 (Michigan).

The current practice location address for Samantha Maria Bastianelli is 2520 Packard Rd Ste 4, Ypsilanti, MI and can be reached out via phone at 734-480-8099 and via fax at 734-999-3779.

Location: 2520 Packard Rd Ste 4, Ypsilanti, MI, 48197-2245
person
Provider Profile Details
NPI Number
1023617297
Provider Name
Samantha Maria Bastianelli
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2520 Packard Rd Ste 4, Ypsilanti, MI, 48197-2245
Phone Number
734-480-8099
Fax Number
734-999-3779
Provider Enumeration Date
10/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2520 Packard Rd Ste 4
City
State
Zip
48197-2245
Phone Number
734-480-8099
Fax Number
734-999-3779
person
Provider Business Mailing Address Details
Address
2520 Packard Rd Ste 4
City
State
Zip
48197-2245
Phone Number
734-480-8099
Fax Number
734-999-3779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401223067 (Michigan)
Definition
Definition to come...
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