| Samaritan House Counseling Services, Llc | |
|
87 W 4th St Mansfield OH 44903-1672 | |
| (419) 526-4603 | |
| (419) 526-4603 |
| Full Name | Samaritan House Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 87 W 4th St, Mansfield, Ohio |
| Authorized Official Name and Position | John A. Squires (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4195264603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan House Counseling Services, Llc Po Box 1573 Mansfield OH 44901-1573 Ph: (419) 526-4603 | Samaritan House Counseling Services, Llc 87 W 4th St Mansfield OH 44903-1672 Ph: (419) 526-4603 |
| NPI Number | 1568521300 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568521300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E-1662 (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | E-1662 (Ohio) | Primary |
| 101YP1600X | Counselor - Pastoral | E-1662 (Ohio) | Primary |
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