person
Samuel Skidmore, MS
Mental Health Counselor in Berkeley, California
NPI 1336990563

Samuel Skidmore is a Mental Health Counselor based in Holladay, CA and is specialized in Mental Health. Samuel Skidmore practices in Berkeley, CA and has the professional credentials of MS. The NPI Number for Samuel Skidmore is 1336990563 and holds a License No. (California).

The current practice location address for Samuel Skidmore is 2222 Bancroft Way Spc 4300, Berkeley, CA and can be reached out via phone at 510-642-9494.

Location: 2222 Bancroft Way Spc 4300, Berkeley, CA, 84124-1748
person
Provider Profile Details
NPI Number
1336990563
Provider Name
Samuel Skidmore
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2222 Bancroft Way Spc 4300, Berkeley, CA, 84124-1748
Phone Number
510-642-9494
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2222 Bancroft Way Spc 4300
City
State
Zip
94720-4300
Phone Number
510-642-9494
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Bancroft Way Spc 4300
City
State
Zip
94720-4300
Phone Number
510-642-9494
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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