Samantha Booth is a Peer Specialist based in Modesto, CA. Samantha Booth practices in Modesto, CA. The NPI Number for Samantha Booth is 1215610670 and holds a License No. (California).
The current practice location address for Samantha Booth is 800 Scenic Dr, Modesto, CA and can be reached out via phone at 209-380-9917.
Location: 800 Scenic Dr, Modesto, CA, 95350-6131
Provider Profile Details
NPI Number
1215610670
Provider Name
Samantha Booth
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Scenic Dr, Modesto, CA, 95350-6131
Phone Number
209-380-9917
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
800 Scenic Dr
City
State
Zip
95350-6131
Phone Number
209-380-9917
Fax Number
Provider Business Mailing Address Details
Address
800 Scenic Dr
City
State
Zip
95350-6131
Phone Number
209-380-9917
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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