| Samantha Adjekum | |
|
24123 W Lockport St Apt 101 Plainfield IL 60544-2864 | |
| (815) 556-9171 | |
| Not Available |
| Full Name | Samantha Adjekum |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24123 W Lockport St Apt 101, Plainfield, Illinois |
| Authorized Official Name and Position | Samantha Adjekum (CLINICAL DIRECTOR/THERAPIST) |
| Authorized Official Contact | 1585569171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Adjekum 24123 W Lockport St Apt 101 Plainfield IL 60544-2864 Ph: (815) 556-9171 | Samantha Adjekum 24123 W Lockport St Apt 101 Plainfield IL 60544-2864 Ph: (815) 556-9171 |
| NPI Number | 1578118055 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578118055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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