Individual provider · Type 1 NPI

Samantha Thomaston

Professional Counselor · Lagrange, GA

NPI number 1871116459 Active

Practice location

111 Holleys Grove Dr
Lagrange, GA 30240-7761

Call (706) 812-8764 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003524 (GA)

Professional Counselor: Definition to come...

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About NPI 1871116459

Samantha Thomaston's National Provider Identifier is 1871116459, issued on May 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lagrange, GA. The record was last updated on May 18, 2020.