Doctor Name: | ADRIANA SAMANO |
NPI Number: | 1083734115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | 51356 |
Business Practice Address: | 1055 Corporate Center Dr Ste 430 Monterey Park, CA - 917547668 |
Business Phone Number: | 3235264016 |
Business Fax Number: | |
Mailing Address: | 867 N Fair Oaks Ave, PASADENA |
State: | CA |
Postal Code: | 911033083 |
Phone Number: | 6268441430 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 51356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |