Provider Demographics
NPI:1740502814
Name:KAMEL-OHM, SAMIA (MA, LPC)
Entity type:Individual
Prefix:
First Name:SAMIA
Middle Name:
Last Name:KAMEL-OHM
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:SAMIA
Other - Middle Name:
Other - Last Name:OHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2647 E MELROSE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7524
Mailing Address - Country:US
Mailing Address - Phone:480-540-2097
Mailing Address - Fax:480-988-2938
Practice Address - Street 1:2647 E MELROSE ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7524
Practice Address - Country:US
Practice Address - Phone:480-540-2097
Practice Address - Fax:480-988-2938
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 10312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional