Sam Booth, MA
Sam Booth, MA is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- MA — Master of Arts
- A graduate arts degree.
Practice location Address checks out
9329 Illinois RdFort Wayne, IN 46804-5796
Phone: (260) 444-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1063380475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2025 |
| Last updated in NPPES | October 27, 2025 |
| Certification date | October 27, 2025 |
| Mailing address | 9329 Illinois Rd, Fort Wayne, IN 46804-5796 |
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