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Gabriel Isaac Samara
Peer Specialist in Santa Cruz, California
NPI 1467236281

Gabriel Isaac Samara is a Peer Specialist based in Santa Cruz, CA. Gabriel Isaac Samara practices in Santa Cruz, CA. The NPI Number for Gabriel Isaac Samara is 1467236281 and holds a License No. MPSS-HXIWJU (California).

The current practice location address for Gabriel Isaac Samara is 1201 Shaffer Rd Bldg 1, Santa Cruz, CA and can be reached out via phone at 831-888-6007.

Location: 1201 Shaffer Rd Bldg 1, Santa Cruz, CA, 95062-3710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467236281
Provider Name
Gabriel Isaac Samara
Credential
Provider Entity Type
Individual
Gender
Male
Address
1201 Shaffer Rd Bldg 1, Santa Cruz, CA, 95062-3710
Phone Number
831-888-6007
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Shaffer Rd Bldg 1
City
Santa Cruz
State
California
Zip
95060-5761
Phone Number
831-888-6007
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Shaffer Rd Bldg 1
City
Santa Cruz
State
California
Zip
95060-5761
Phone Number
831-888-6007
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-HXIWJU (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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