Individual provider · Type 1 NPI

Griffin Sampson Iii

Mental Health Counselor · Philadelphia, PA

NPI number 1104513936 Active

Practice location

1919 Cottman Ave
Philadelphia, PA 19111-3816

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104513936

Griffin Sampson Iii's National Provider Identifier is 1104513936, issued on Apr 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 21, 2023.