Doctor Name: | SAMIT MANN |
NPI Number: | 1699133124 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 14387 W Kearney Blvd Kerman, CA - 936309203 |
Business Phone Number: | 5595677370 |
Business Fax Number: | |
Mailing Address: | 14387 W Kearney Blvd, KERMAN |
State: | CA |
Postal Code: | 936309203 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/28/2016 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |