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NPI Code Detail

MEDICARE: SAMANTHA REIS

MEDICARE: SAMANTHA REIS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1528432234
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA REIS
Provider Business Mailing Address
First Line : 100A HAVERHILL ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4297
Country : US
Telephone Number : 978-758-3356
Fax Number :
Provider Business Practice Location Address
First Line : 100A HAVERHILL ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4297
Country : US
Telephone Number : 978-758-3356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2015
Last Update Date : 01/13/2020

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1437611688 — DANIELLE NICOLE CARROLL LMHC
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Directions to “ SAMANTHA REIS ” Practice Location

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