Individual
SAMANTHA CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1401 BROADWAY, SAN DIEGO, CA 92101-5710
(619) 276-8112
Mailing address
PO BOX 421141, SAN DIEGO, CA 92142-1141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16998
CA
Other
Enumeration date
06/08/2021
Last updated
11/04/2024
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