Samantha Breen
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013781467
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1013781467
- Entity type
- Individual (NPI-1)
- Name
- Samantha Breen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 142583 | CA | Yes |
Practice location
13101 W Washington Blvd Ste 230Los Angeles, CA 90066-8128
Phone 323-250-0239
Mailing address
13101 W Washington Blvd Ste 230Los Angeles, CA 90066-8128
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