Individual provider · Type 1 NPI

Shackola Samantha Symons, LMHC, NCC

Mental Health Counselor · New Rochelle, NY

NPI number 1255842464 Active

Practice location

481 Main St
New Rochelle, NY 10801-6324

Mailing address

362 S 4th Ave
Mount Vernon, NY 10550-4132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X006456-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1255842464

Shackola Samantha Symons, LMHC, NCC's National Provider Identifier is 1255842464, issued on Oct 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Rochelle, NY. The record was last updated on Oct 14, 2017.