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Samantha Dubose
Marriage & Family Therapist in Modesto, California
NPI 1871957365

Samantha Dubose is a Marriage & Family Therapist based in Modesto, CA. Samantha Dubose practices in Modesto, CA. The NPI Number for Samantha Dubose is 1871957365 and holds a License No. (California).

The current practice location address for Samantha Dubose is 5815 Stoddard Rd Ste 600, Modesto, CA and can be reached out via phone at 209-543-1874 and via fax at 209-543-1869. You can also correspond with Samantha Dubose through the mailing address at 5815 STODDARD RD STE 600, MODESTO, CA - 95356-9041 (mailing address contact number: 209-543-1874).

Location: 5815 Stoddard Rd Ste 600, Modesto, CA, 95356-9041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871957365
Provider Name
Samantha Dubose
Credential
Provider Entity Type
Individual
Gender
Female
Address
5815 Stoddard Rd Ste 600, Modesto, CA, 95356-9041
Phone Number
209-543-1874
Fax Number
209-543-1869
Provider Enumeration Date
04/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5815 Stoddard Rd Ste 600
City
Modesto
State
California
Zip
95356-9041
Phone Number
209-543-1874
Fax Number
209-543-1869
person
Provider Business Mailing Address Details
Address
5815 Stoddard Rd Ste 600
City
Modesto
State
California
Zip
95356-9041
Phone Number
209-543-1874
Fax Number
209-543-1869
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
117273 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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