Samantha Blair
Counselor, Mental Health in Sacramento, CA. Individual provider (NPI-1).
NPI number1609623115
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1609623115
- Entity type
- Individual (NPI-1)
- Name
- Samantha Blair
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- Apr 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
900 Fulton AveSacramento, CA 95825-4500
Phone 916-426-6567
Mailing address
3809 Font StSacramento, CA 95821-5426
Phone 916-346-8372
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