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Nicole Sampson
Mental Health Counselor in Lutz, Florida
NPI 1972201770

Nicole Sampson is a Mental Health Counselor based in Lutz, FL and is specialized in Mental Health. Nicole Sampson practices in Lutz, FL. The NPI Number for Nicole Sampson is 1972201770 and holds a License No. IMH23634 (Florida).

The current practice location address for Nicole Sampson is 19105 N Us Highway 41 Ste 300, Lutz, FL and can be reached out via phone at 813-421-4405.

Location: 19105 N Us Highway 41 Ste 300, Lutz, FL, 33549-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972201770
Provider Name
Nicole Sampson
Credential
Provider Entity Type
Individual
Gender
Female
Address
19105 N Us Highway 41 Ste 300, Lutz, FL, 33549-4206
Phone Number
813-421-4405
Fax Number
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19105 N Us Highway 41 Ste 300
City
Lutz
State
Florida
Zip
33549-4206
Phone Number
813-421-4405
Fax Number
person
Provider Business Mailing Address Details
Address
19105 N Us Highway 41 Ste 300
City
Lutz
State
Florida
Zip
33549-4206
Phone Number
813-421-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH23634 (Florida)
Definition
Definition to come...
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