Individual provider · Type 1 NPI

Shannon L. Samples, TBS COORDINATOR

Counselor · Upper Lake, CA

NPI number 1316087307 Active

Practice location

9860 Middle Creek Rd
Upper Lake, CA 95485-9265

Call (707) 275-8166 Map

Fax (707) 275-8168

Mailing address

8357 Saddle Rd
Kelseyville, CA 95451-7847

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316087307

Shannon L. Samples, TBS COORDINATOR's National Provider Identifier is 1316087307, issued on Feb 7, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Upper Lake, CA. The record was last updated on Jul 8, 2007.