Individual provider · Type 1 NPI
Samantha Rae Avignone, LAC, NCC
Mental Health Counselor · Bridgewater, NJ
NPI number
1467116608
Active
Practice location
32 Bertran Dr
Bridgewater, NJ 08807-5607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1467116608
Samantha Rae Avignone, LAC, NCC's National Provider Identifier is 1467116608, issued on Oct 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgewater, NJ. The record was last updated on Oct 25, 2021.