Individual
PATRICIA SAMORA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 399-4520
(707) 399-4521
Mailing address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 399-4520
(707) 399-4521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
05/25/2025
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