Individual provider · Type 1 NPI

Samantha Maciaga

Professional Counselor · Tinley Park, IL

NPI number 1972162808 Active

Practice location

6819 167th St
Tinley Park, IL 60477-2501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.012902 (IL)

Professional Counselor: Definition to come...

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About NPI 1972162808

Samantha Maciaga's National Provider Identifier is 1972162808, issued on Jun 13, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tinley Park, IL. The record was last updated on Jun 13, 2019.