Shannon L Samples in Upper Lake - Counselor
Shannon L Samples - NPI 1316087307
Shannon L Samples is a Counselor in Upper Lake, California. Shannon L Samples practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shannon L Samples is 1316087307. The last update date is 2007-07-08.
Shannon L Samples's current location address is 9860 Middle Creek Rd, Upper Lake, California. You can contact this provider via phone number 7072758166 and fax number 7072758168. The mailing address for Shannon L Samples is 9860 Middle Creek Rd, Upper Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Samples |
|---|---|
| Address | 9860 Middle Creek Rd, Upper Lake, California |
| Phone Number | 7072758166 |
| Fax Number | 7072758168 |
| Sole Proprietor | N |
| Credentials | TBS COORDI |
NPI Number Detail
| NPI Number | 1316087307 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9860 Middle Creek Rd |
|---|---|
| City | Upper Lake |
| State | California (CA) |
| Post Code | 954859265 |
| Phone Number | 7072758166 |
| Fax Number | 7072758168 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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What is the unique identifier code issued to Shannon L Samples by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon L Samples has been assigned the NPI (National Provider Identifier) 1316087307. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Shannon L Samples?
The Shannon L Samples is situated at 9860 Middle Creek Rd, in the city of Upper Lake, state of CA, with the zip code 954859265.
What is Shannon L Samples's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon L Samples's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316087307 to Shannon L Samples?
The Centers for Medicare & Medicaid Services originally issued the 1316087307 to Shannon L Samples on 2007-02-07.
As of what date were the Shannon L Samples's details last updated?
The information pertaining to the Shannon L Samples, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1588667679
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