Individual provider · Type 1 NPI
Shari Samuel I, DOCTORATE
Mental Health Counselor · Modesto, CA
NPI number
1750646063
Active
Practice location
2908 Ashbrook Ct
Modesto, CA 95355-8623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12500 (FL) |
| Mental Health Counselor Primary | 101YM0800X | LPCC5584 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1750646063
Shari Samuel I, DOCTORATE's National Provider Identifier is 1750646063, issued on Jul 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Modesto, CA. The record was last updated on Feb 13, 2026.