| Doctor Name: | MS. SAMARIA PALACIOS |
| NPI Number: | 1053560375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2680 Saturn Ave Ste 180 Huntington Park, CA - 902554568 |
| Business Phone Number: | 1888562942 |
| Business Fax Number: | |
| Mailing Address: | 519 Meeker Ave, LA PUENTE |
| State: | CA |
| Postal Code: | 917462609 |
| Phone Number: | 6268418301 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |