Organization · Type 2 NPI

Samuel T. Enterprise

Mental Health Counselor · Costa Mesa, CA

NPI number 1194194860 Active

Practice location

3151 Airway Ave, Suite D2
Costa Mesa, CA 92626-4607

Call (714) 847-7585 Map

Fax (714) 848-5410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194194860

Samuel T. Enterprise's National Provider Identifier is 1194194860, issued on Sep 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 23, 2015.