Eklund, Samantha Crystal

Eklund, Samantha Crystal is an sole proprietor health care provider with primary practice located at 25 Dooer Ave , Avon NY 14414-1101. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Eklund, Samantha Crystal can be contacted via phone (607) 346-0712.

Contact Information

Primary practice address
25 Dooer Ave Avon NY 14414-1101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 011397 New York

Profile Details

NPI number 1558930081
LBN Legal business name Eklund, Samantha Crystal
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2021
Last updated Jun 19th, 2021 - about 3 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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