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NPI Code Detail

MEDICARE: CARA SAMELSON

MEDICARE: CARA SAMELSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT94342CA

General Provider Information

NPI Number : 1477800696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA SAMELSON
Provider Business Mailing Address
First Line : 3671 BUSINESS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-2197
Country : US
Telephone Number : 916-734-4094
Fax Number :
Provider Business Practice Location Address
First Line : 3671 BUSINESS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-2197
Country : US
Telephone Number : 916-734-4206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 01/03/2022

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Directions to “ CARA SAMELSON ” Practice Location

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