Individual provider · Type 1 NPI

Samuel Jefferson

Student in an Organized Health Care Education/Training Program · Camarillo, CA

NPI number 1548928898 Active

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Call (805) 383-3669 Map

Mailing address

5284 Adolfo Rd Ste 100
Camarillo, CA 93012-6790

Other practice locations

  • 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 · (805) 289-0120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548928898

Samuel Jefferson's National Provider Identifier is 1548928898, issued on Dec 3, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camarillo, CA. The record was last updated on Oct 24, 2024.