Individual
SAMANTHA SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 654-3950
Mailing address
5840 HAZELTINE AVE APT 6, VAN NUYS, CA 91401-3715
(956) 340-5904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/19/2020
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