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Samantha Moeai, LCSW
Mental Health Counselor in Provo, Utah
NPI 1912541871

Samantha Moeai is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Samantha Moeai practices in Provo, UT and has the professional credentials of LCSW. The NPI Number for Samantha Moeai is 1912541871 and holds a License No. 98831513501 (Utah).

The current practice location address for Samantha Moeai is 1881 N 1120 W, Provo, UT and can be reached out via phone at 801-472-8382.

Location: 1881 N 1120 W, Provo, UT, 84124-3944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912541871
Provider Name
Samantha Moeai
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1881 N 1120 W, Provo, UT, 84124-3944
Phone Number
801-472-8382
Fax Number
Provider Enumeration Date
11/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1881 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-472-8382
Fax Number
person
Provider Business Mailing Address Details
Address
1881 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-472-8382
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
98831513501 (Utah)
Definition
Definition to come...
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