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Individual
SAMUEL GOITIA.ANCHETA
Active
Individual
SAMUEL GOITIA.ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1462880322
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
08/17/2007
Last updated
10/29/2025
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