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Miss Samantha Dawn Weaver
Mental Health Counselor in Malone, New York
NPI 1952991754

Samantha Dawn Weaver is a Mental Health Counselor based in West Chazy, NY and is specialized in Mental Health. Samantha Dawn Weaver practices in Malone, NY. The NPI Number for Samantha Dawn Weaver is 1952991754 and holds a License No. (New York).

The current practice location address for Samantha Dawn Weaver is 15 4Th St, Malone, NY and can be reached out via phone at 518-481-8160.

Location: 15 4Th St, Malone, NY, 12992-2324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952991754
Provider Name
Samantha Dawn Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 4Th St, Malone, NY, 12992-2324
Phone Number
518-481-8160
Fax Number
Provider Enumeration Date
01/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 4Th St
City
Malone
State
New York
Zip
12953-1340
Phone Number
518-481-8160
Fax Number
person
Provider Business Mailing Address Details
Address
15 4Th St
City
Malone
State
New York
Zip
12953-1340
Phone Number
518-481-8160
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...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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