Individual
SAM CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2649 DORADO CT, THOUSAND OAKS, CA 91362-4916
(818) 324-5266
Mailing address
2649 DORADO CT, THOUSAND OAKS, CA 91362-4916
(818) 324-5266
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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