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Samantha Jo Boothe

Counselor, Addiction (Substance Use Disorder) in Ironton, OH. Individual provider (NPI-1).

NPI number1295338564
StatusActive
Last updated in NPPESNov 19, 2020

Details

NPI
1295338564
Entity type
Individual (NPI-1)
Name
Samantha Jo Boothe
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 19, 2020
Certification date
Nov 19, 2020
Last updated
Nov 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1007 N 2nd St
Ironton, OH 45638-1235

Phone 207-602-8683

Mailing address

1007 N 2nd St
Ironton, OH 45638-1235

Phone 207-602-8683

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