Anderson, Samantha Jo

Anderson, Samantha Jo is an individual health care provider with primary practice located at 107 S Madison St , Green Bay WI 54301-4501. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Anderson, Samantha Jo can be contacted via phone (408) 813-0977.

Contact Information

Primary practice address
107 S Madison St Green Bay WI 54301-4501
Phone: (408) 813-0977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3145-57 Wisconsin

Profile Details

NPI number 1982193546
LBN Legal business name Anderson, Samantha Jo
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated May 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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