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Individual

SAMANTHA CAROLINE CORONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6833 STOCKTON BLVD STE 485, SACRAMENTO, CA 95823-2376
(916) 942-9060
Mailing address
401 BOYD ST, VACAVILLE, CA 95688-4521

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
APCC14793
CA
101YP2500X
Professional Counselor
Primary
LPCC22196
CA
106H00000X
Marriage & Family Therapist
AMFT142008
CA
106H00000X
Marriage & Family Therapist
LMFT163232
CA

Other

Enumeration date
08/09/2017
Last updated
05/14/2026
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