Individual provider · Type 1 NPI

Jacklyn Samuels, LPC

Mental Health Counselor · Sandusky, OH

NPI number 1689289100 Active

Practice location

1925 Hayes Ave
Sandusky, OH 44870-4737

Call (419) 557-5177 Map

Mailing address

675 Bartson Rd
Fremont, OH 43420-9672

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XC.2002650-TRNE (OH)
Mental Health Counselor Primary 101YM0800XC.2103762 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1689289100

Jacklyn Samuels, LPC's National Provider Identifier is 1689289100, issued on Sep 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandusky, OH. The record was last updated on Oct 12, 2021.