Samantha Gorham Valid NPI
Individual provider · Mental Health Counselor · O Fallon, MO
- NPI
- 1285477588
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2023041161 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-06-14
- Last updated
- 2024-06-14
Practice location
1654 Bryan Rd
O Fallon, MO 63368-4897
(636) 344-0433