Individual provider · Type 1 NPI
Stacy Daniel Sampson, LPC
Professional Counselor · Athens, GA
NPI number
1104190230
Active
Practice location
585 Research Dr, Suite B
Athens, GA 30605-2788
Fax (706) 543-3523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 006719 (GA) |
Professional Counselor: Definition to come...
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About NPI 1104190230
Stacy Daniel Sampson, LPC's National Provider Identifier is 1104190230, issued on Mar 7, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Dec 3, 2012.