Organization · Type 2 NPI

Samantha L Charbonneau PA

Marriage & Family Therapist · Lake Mary, FL

NPI number 1356878128 Active

Practice location

101 Timberlachen Cir Ste 201
Lake Mary, FL 32746-6124

Call (407) 466-3467 Map

Fax (407) 549-5987

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMT2058 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1356878128

Samantha L Charbonneau PA's National Provider Identifier is 1356878128, issued on May 11, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lake Mary, FL. The record was last updated on May 11, 2017.