Individual
ASHOURINA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
2579 BOBOLINK DR, SAN JOSE, CA 95125-2911
(408) 687-8887
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT76944
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
05/06/2014
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