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Raphael Fredric Samson
Mental Health Counselor in Eatontown, New Jersey
NPI 1215400973

Raphael Fredric Samson is a Mental Health Counselor based in Eatontown, NJ and is specialized in Mental Health. Raphael Fredric Samson practices in Eatontown, NJ. The NPI Number for Raphael Fredric Samson is 1215400973 and holds a License No. (New Jersey).

The current practice location address for Raphael Fredric Samson is 10 Industrial Way E, Eatontown, NJ and can be reached out via phone at 732-935-2220.

Location: 10 Industrial Way E, Eatontown, NJ, 07724-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215400973
Provider Name
Raphael Fredric Samson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10 Industrial Way E, Eatontown, NJ, 07724-3332
Phone Number
732-935-2220
Fax Number
Provider Enumeration Date
01/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Industrial Way E
City
Eatontown
State
New Jersey
Zip
07724-3332
Phone Number
732-935-2220
Fax Number
person
Provider Business Mailing Address Details
Address
10 Industrial Way E
City
Eatontown
State
New Jersey
Zip
07724-3332
Phone Number
732-935-2220
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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