Samantha L Charbonneau PA
Samantha L Charbonneau PA is a Marriage & Family Therapist in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 Timberlachen Cir Ste 201Lake Mary, FL 32746-6124
Phone: (407) 466-3467
Fax: (407) 549-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence MT2058 (FL) |
|---|
Record details
| NPI number | 1356878128 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samantha Charbonneau — Marriage And Family Therapist · (407) 466-3467 |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 101 Timberlachen Cir Ste 201, Lake Mary, FL 32746-6124 |
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Shantanique Daleja Moore King, LMFT
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Mr. Shawn Riker
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