Shannon Samuel's National Provider Identifier (NPI) Details
Shannon Samuel, LPC-Associate
NPI: 1679294532
Enumeration Date: 2022-09-08
Last updated: 2022-09-08
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 1303, MANVEL, TX
Phone:
Primary Practice Address: 20351 MORRIS AVE, MANVEL, TX
Practice's phone: 979-233-1584