SAMANTHA D GILLIAM

DAYTON, OH
NPI1932600806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OH  C2002677)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: OH  C.1901793-TRNE)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCIII.161844)
Enumeration Date2018-02-26
Last Update Date2021-01-25
Business Address
SAMANTHA D GILLIAM LPC
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
Mailing Address
SAMANTHA D GILLIAM LPC
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700