Individual
ANTOINETTE SAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7286 S YOSEMITE ST, CENTENNIAL, CO 80112-2204
(303) 824-5866
Mailing address
7286 S YOSEMITE ST, CENTENNIAL, CO 80112-2204
(303) 824-5866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0008285
CO
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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