Individual provider · Type 1 NPI

Samuel Skidmore, MS

Mental Health Counselor · Berkeley, CA

NPI number 1336990563 Active

Practice location

2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300

Call (510) 642-9494 Map

Mailing address

4056 S Suada Cir
Holladay, UT 84124-1748

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336990563

Samuel Skidmore, MS's National Provider Identifier is 1336990563, issued on Mar 27, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Mar 27, 2024.