Individual
SAMANTHA SABOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
409 CAMINO DEL RIO S, STE 201, SAN DIEGO, CA 92108-4421
(619) 339-7556
Mailing address
PO BOX 15541, SAN DIEGO, CA 92175-5541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4249
CA
101YP2500X
Professional Counselor
Primary
13970
CA
Other
Enumeration date
05/13/2019
Last updated
05/24/2023
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