Lee, Samantha Gwen

Lee, Samantha Gwen is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lee, Samantha Gwen can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 13084 Arizona
Behavioral Health & Social Service Providers / Social Worker 104100000X 11643 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16048 Arizona

Profile Details

NPI number 1396915542
LBN Legal business name Lee, Samantha Gwen
Credentials LMSW, LASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Oct 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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