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Mr. Samson Omaivboje, BARCH
Counselor in Altadena, California
NPI 1912118365

Samson Omaivboje is a Counselor based in Altadena, CA. Samson Omaivboje practices in Altadena, CA and has the professional credentials of BARCH. The NPI Number for Samson Omaivboje is 1912118365 and holds a License No. (California).

The current practice location address for Samson Omaivboje is 126 E Palm St, Altadena, CA and can be reached out via phone at 626-794-1020 and via fax at 626-794-4138.

Location: 126 E Palm St, Altadena, CA, 91001-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912118365
Provider Name
Samson Omaivboje
Credential
BARCH
Provider Entity Type
Individual
Gender
Male
Address
126 E Palm St, Altadena, CA, 91001-4824
Phone Number
626-794-1020
Fax Number
626-794-4138
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 E Palm St
City
Altadena
State
California
Zip
91001-4824
Phone Number
626-794-1020
Fax Number
626-794-4138
person
Provider Business Mailing Address Details
Address
126 E Palm St
City
Altadena
State
California
Zip
91001-4824
Phone Number
626-794-1020
Fax Number
626-794-4138
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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