Individual provider · Type 1 NPI

Samuel Terrance Hargrove

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1043497522 Active

Practice location

408 Tennessee St
Vallejo, CA 94590-4453

Call (707) 554-2397 Map

Mailing address

116 E K St
Benicia, CA 94510-3243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043497522

Samuel Terrance Hargrove's National Provider Identifier is 1043497522, issued on Jan 27, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Jan 27, 2008.