Individual provider · Type 1 NPI

Davina G. Samuel, LPC

Professional Counselor · Tifton, GA

NPI number 1265976435 Active

Practice location

334 Tifton Eldorado Rd
Tifton, GA 31794-9497

Fax (229) 386-3221

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008789 (GA)

Professional Counselor: Definition to come...

20 other providers at this address

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About NPI 1265976435

Davina G. Samuel, LPC's National Provider Identifier is 1265976435, issued on Dec 7, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tifton, GA. The record was last updated on Dec 7, 2016.