Samantha Severin Family Therapy
Counselor, Mental Health in Newport Beach, CA. Organization (NPI-2).
NPI number1043001084
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1043001084
- Entity type
- Organization (NPI-2)
- Legal business name
- Samantha Severin Family Therapy
- Organization subpart
- No
- Enumeration date
- May 16, 2025
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1501 Westcliff Dr Ste 290Newport Beach, CA 92660-5517
Phone 949-386-7178
Mailing address
6152 Dundee DrHuntington Beach, CA 92647-2409
Phone 949-533-1374
Authorized official
Samantha Severin
Owner
9495331374
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