Individual provider · Type 1 NPI

Samantha Patino

Addiction (Substance Use Disorder) Counselor · Royal Oaks, CA

NPI number 1104460047 Active

Practice location

1568 San Juan Rd
Royal Oaks, CA 95076-9198

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

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 1104460047

Samantha Patino's National Provider Identifier is 1104460047, issued on Nov 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Royal Oaks, CA. The record was last updated on Nov 4, 2019.