Individual
CANAAN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS I
Contact information
Practice address
11837 KEMPER RD, AUBURN, CA 95603-9067
(530) 888-1010
Mailing address
4039 HUNTER OAKS LN, LOOMIS, CA 95650-9281
(530) 888-1010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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