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Juanita Latrice Sams
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1255031803

Juanita Latrice Sams is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Juanita Latrice Sams practices in San Diego, CA. The NPI Number for Juanita Latrice Sams is 1255031803 and holds a License No. MPSS-WSBQPY (California).

The current practice location address for Juanita Latrice Sams is 2970 Market St, San Diego, CA and can be reached out via phone at 619-236-9492.

Location: 2970 Market St, San Diego, CA, 92108-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255031803
Provider Name
Juanita Latrice Sams
Credential
Provider Entity Type
Individual
Gender
Female
Address
2970 Market St, San Diego, CA, 92108-3505
Phone Number
619-236-9492
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2970 Market St
City
San Diego
State
California
Zip
92102-3241
Phone Number
619-236-9492
Fax Number
person
Provider Business Mailing Address Details
Address
2970 Market St
City
San Diego
State
California
Zip
92102-3241
Phone Number
619-236-9492
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-WSBQPY (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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