Individual provider · NPI-1

Samantha Claire Aggeles, LPC

Counselor, Mental Health · Charleston, SC

NPI number1306335963
StatusActive
Last updated in NPPESJun 30, 2024

Details

NPI
1306335963
Entity type
Individual (NPI-1)
Name
Samantha Claire Aggeles
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 8, 2018
Certification date
Jun 30, 2024
Last updated
Jun 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health7715SCYes

Other names

  • Samantha Sammis (Former Name)

Practice location

21 Gamecock Ave Ste E
Charleston, SC 29407-3368

Phone 843-640-5386

Mailing address

822 Corral Dr
Charleston, SC 29414-5117

Phone 443-799-0414

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