Samantha Jolene Cooper, LMFT
Individual provider Active NPI Marriage & Family Therapist · San Andreas, CA
NPI 1225501844 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1225501844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 104493 (CA)
- Practice address
- 23 West Saint Charles
San Andreas, CA 95249 - Phone
- (209) 395-0955
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104493 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 104493 | CA | Yes |
Addresses
Primary practice location
23 West Saint Charles
San Andreas, CA 95249
Mailing address
PO Box 1443
Valley Springs, CA 95252-1443
Phone (209) 395-0955
Other providers in San Andreas, CA
- Community Medical Centers
- Community Medical Centers
- Community Medical Team Acute Care Corporation
- Michael Compton
- Kulauri Cooper
- Kevin Cornwell
- Whitney Lucille Couchman
- County of Calaveras
- County of Calaveras
- County of Calaveras
All providers in San Andreas, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.