person
Mrs. Samantha D'esti Eisenhart-petkovski, LMHC,LPC
Professional Counselor in South Lyon, Michigan
NPI 1629293261

Samantha D'esti Eisenhart-petkovski is a Professional Counselor based in South Lyon, MI and is specialized in Professional. Samantha D'esti Eisenhart-petkovski practices in South Lyon, MI and has the professional credentials of LMHC,LPC. The NPI Number for Samantha D'esti Eisenhart-petkovski is 1629293261 and holds a License No. MH8108 (Michigan).

The current practice location address for Samantha D'esti Eisenhart-petkovski is 60657 S Lyon Trl, South Lyon, MI and can be reached out via phone at 321-356-0146.

Location: 60657 S Lyon Trl, South Lyon, MI, 48178-9054
person
Provider Profile Details
NPI Number
1629293261
Provider Name
Samantha D'esti Eisenhart-petkovski
Credential
LMHC,LPC
Provider Entity Type
Individual
Gender
Female
Address
60657 S Lyon Trl, South Lyon, MI, 48178-9054
Phone Number
321-356-0146
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60657 S Lyon Trl
City
State
Zip
48178-9054
Phone Number
321-356-0146
Fax Number
person
Provider Business Mailing Address Details
Address
60657 S Lyon Trl
City
State
Zip
48178-9054
Phone Number
321-356-0146
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401011614 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH8108 (Florida)
Definition
Definition to come...
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