Samantha Gwen Lee in Fort Defiance - Counselor
Samantha Gwen Lee - NPI 1396915542
Samantha Gwen Lee is a Counselor in Fort Defiance, Arizona. Samantha Gwen Lee practices all healthcare services and medical treatments related to Counselor. The NPI Number for Samantha Gwen Lee is 1396915542. The last update date is 2016-10-03.
Samantha Gwen Lee's current location address is Po Box 589, Fort Defiance, Arizona. You can contact this provider via phone number 9287298500 and fax number 9287298000. The mailing address for Samantha Gwen Lee is Po Box 589, Fort Defiance, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Gwen Lee |
|---|---|
| Address | Po Box 589, Fort Defiance, Arizona |
| Phone Number | 9287298500 |
| Fax Number | 9287298000 |
| Sole Proprietor | N |
| Credentials | LMSW, LASA |
NPI Number Detail
| NPI Number | 1396915542 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2016-10-03 |
Provider Mailing Address Detail
| Address | Po Box 589 |
|---|---|
| City | Fort Defiance |
| State | Arizona (AZ) |
| Post Code | 865040589 |
| Phone Number | 9287298500 |
| Fax Number | 9287298000 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 13084 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the Samantha Gwen Lee's unique identification number?
The Samantha Gwen Lee has been assigned the NPI (National Provider Identifier) Number 1396915542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Samantha Gwen Lee located?
The Samantha Gwen Lee is located at Po Box 589, Fort Defiance, AZ 865040589.
What is Samantha Gwen Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Samantha Gwen Lee is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396915542 to Samantha Gwen Lee?
The Centers for Medicare & Medicaid Services assigned the 1396915542 to Samantha Gwen Lee on 2008-03-04.
When was the information related to Samantha Gwen Lee most recently updated or refreshed?
The details pertaining to the Samantha Gwen Lee, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-10-03.