Individual provider · Type 1 NPI

Samantha Soares, CM

Mental Health Counselor · Jackson, TN

NPI number 1821269986 Active

Practice location

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Mailing address

238 Summar Dr
Jackson, TN 38301-3906

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821269986

Samantha Soares, CM's National Provider Identifier is 1821269986, issued on Mar 17, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Aug 17, 2009.