Provider Demographics
NPI:1205216553
Name:WOJTECH, SAMANTHA DANIELS (MA, LPC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:DANIELS
Last Name:WOJTECH
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 1:5107 N RHETT AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4219
Mailing Address - Country:US
Mailing Address - Phone:609-709-8678
Mailing Address - Fax:
Practice Address - Street 1:5107 N RHETT AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:609-709-8678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health