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Shannon L Samples, TBSCOORDINATOR
Counselor in Upper Lake, California
NPI 1316087307

Shannon L Samples is a Counselor based in Kelseyville, CA. Shannon L Samples practices in Upper Lake, CA and has the professional credentials of TBSCOORDINATOR. The NPI Number for Shannon L Samples is 1316087307 and holds a License No. (California).

The current practice location address for Shannon L Samples is 9860 Middle Creek Rd, Upper Lake, CA and can be reached out via phone at 707-275-8166 and via fax at 707-275-8168.

Location: 9860 Middle Creek Rd, Upper Lake, CA, 95451-7847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316087307
Provider Name
Shannon L Samples
Credential
TBSCOORDINATOR
Provider Entity Type
Individual
Gender
Female
Address
9860 Middle Creek Rd, Upper Lake, CA, 95451-7847
Phone Number
707-275-8166
Fax Number
707-275-8168
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9860 Middle Creek Rd
City
Upper Lake
State
California
Zip
95485-9265
Phone Number
707-275-8166
Fax Number
707-275-8168
person
Provider Business Mailing Address Details
Address
9860 Middle Creek Rd
City
Upper Lake
State
California
Zip
95485-9265
Phone Number
707-275-8166
Fax Number
707-275-8168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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