Provider Demographics
NPI:1215691712
Name:GALSON, SAMANTHA HELEN (MA, LPC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:HELEN
Last Name:GALSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2418
Mailing Address - Country:US
Mailing Address - Phone:609-410-0084
Mailing Address - Fax:
Practice Address - Street 1:1723 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2418
Practice Address - Country:US
Practice Address - Phone:609-410-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00737600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health