Individual
SAMANTHA MARIE SHEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, RDT
Contact information
Practice address
2484 SHATTUCK AVE STE 210, BERKELEY, CA 94704-2076
(925) 644-7512
Mailing address
PO BOX 9284, BERKELEY, CA 94709-0284
(510) 701-0385
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
RDT850
—
101YP2500X
Professional Counselor
Primary
LPCC17565
CA
Other
Enumeration date
09/10/2018
Last updated
10/28/2024
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