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Individual

JON MICHAEL THOMAS SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 E FOOTHILL BLVD, PASADENA, CA 91107-3464
(626) 254-5000
Mailing address
1801 E KATELLA AVE APT 3043, ANAHEIM, CA 92805-6656
(626) 802-7755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
MPSS-NEWOFU
CA

Other

Enumeration date
02/22/2017
Last updated
08/05/2025
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