Individual provider · Type 1 NPI

Samantha Jean Anthony, RAD1

Counselor · San Diego, CA

NPI number 1639702210 Active

Practice location

3148 Midway Dr # 113
San Diego, CA 92110-4539

Call (619) 363-0853 Map

Fax (619) 362-9905

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 1639702210

Samantha Jean Anthony, RAD1's National Provider Identifier is 1639702210, issued on Feb 21, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 21, 2020.