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Samantha Thomaston
Professional Counselor in Lagrange, Georgia
NPI 1871116459

Samantha Thomaston is a Professional Counselor based in Lagrange, GA and is specialized in Professional. Samantha Thomaston practices in Lagrange, GA. The NPI Number for Samantha Thomaston is 1871116459 and holds a License No. 003524 (Georgia).

The current practice location address for Samantha Thomaston is 111 Holleys Grove Dr, Lagrange, GA and can be reached out via phone at 706-812-8764.

Location: 111 Holleys Grove Dr, Lagrange, GA, 30240-7761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871116459
Provider Name
Samantha Thomaston
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Holleys Grove Dr, Lagrange, GA, 30240-7761
Phone Number
706-812-8764
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Holleys Grove Dr
City
Lagrange
State
Georgia
Zip
30240-7761
Phone Number
706-812-8764
Fax Number
person
Provider Business Mailing Address Details
Address
111 Holleys Grove Dr
City
Lagrange
State
Georgia
Zip
30240-7761
Phone Number
706-812-8764
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
003524 (Georgia)
Definition
Definition to come...
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