Samantha Renee Stull
Counselor, Mental Health in Mount Orab, OH. Individual provider (NPI-1).
NPI number1124635990
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1124635990
- Entity type
- Individual (NPI-1)
- Name
- Samantha Renee Stull
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
116 N High StMount Orab, OH 45154-9158
Phone 937-444-6127
Mailing address
2806 Woodburn Ave Apt 202Cincinnati, OH 45206-3043
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