Samuel Lyle Stewart
Counselor in Fair Oaks, CA. Individual provider (NPI-1).
NPI number1750138145
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1750138145
- Entity type
- Individual (NPI-1)
- Name
- Samuel Lyle Stewart
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | apcc12571 | CA | Yes |
Practice location
10940 Fair Oaks Blvd Ste 600Fair Oaks, CA 95628-5958
Phone 916-426-2757
Mailing address
1751 E Roseville Pkwy Apt 718Roseville, CA 95661-6427
Phone 916-704-4440
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All 9 Counselor providers in Fair Oaks · All 959 providers in Fair Oaks
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