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NPI Code Detail

MEDICARE: SAMANTHA ASMAR

MEDICARE: SAMANTHA ASMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003359845
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ASMAR
Provider Business Mailing Address
First Line : 44 HAMPSTEAD ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-1712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26 PARKRIDGE RD
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-8514
Country : US
Telephone Number : 978-380-0825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 11/28/2016

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Directions to “ SAMANTHA ASMAR ” Practice Location

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