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SAMANTHA M PARKER

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962983544

Individual Registrant:
 SAMANTHA M PARKER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
17519 SUNSET TRL  LAKE HUGHES, CA 93532-1154 US
Tel: 661-724-1837  Fax: --

Contact information for business:
17519 SUNSET TRL  LAKE HUGHES, CA 93532-1154 US
Tel: 661-724-1837  Fax: --

Registration Information:
NPI: 1962983544
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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