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Jenesagrace Lozano Samson
Mental Health Counselor in Orange, California
NPI 1831684398

Jenesagrace Lozano Samson is a Mental Health Counselor based in Anaheim, CA and is specialized in Mental Health. Jenesagrace Lozano Samson practices in Orange, CA. The NPI Number for Jenesagrace Lozano Samson is 1831684398 and holds a License No. 264239 (California).

The current practice location address for Jenesagrace Lozano Samson is 401 S Tustin St Bldg D, Orange, CA and can be reached out via phone at 714-289-3936.

Location: 401 S Tustin St Bldg D, Orange, CA, 92802-4472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831684398
Provider Name
Jenesagrace Lozano Samson
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 S Tustin St Bldg D, Orange, CA, 92802-4472
Phone Number
714-289-3936
Fax Number
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 S Tustin St Bldg D
City
Orange
State
California
Zip
92866-2550
Phone Number
714-289-3936
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Tustin St Bldg D
City
Orange
State
California
Zip
92866-2550
Phone Number
714-289-3936
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
264239 (California)
Definition
Definition to come...
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