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Provider Information for 1164041430


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AREEN HANNA SAMAAN LMFT


Sex: Female

NPI: 1164041430
Last Updated: 2023-09-19
Certification Date: 2023-05-09

Details

NameValue
NPI1164041430
Enumeration Date2020-04-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 8910 CLAIREMONT MESA BOULEVARD
SAN DIEGO, CA 92123
United States

Phone: 858-514-5144 | Fax:858-514-5195
 
Primary Practice Address 8910 CLAIREMONT MESA BOULEVARD
SAN DIEGO, CA 92123
United States

Phone: 858-514-5144 | Fax:858-514-5195
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CAAMFT115385DCA
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor CAAMFT115385
No 101YM0800X - Counselor - Mental HealthCALMFT125853
Yes 106H00000X - Marriage & Family Therapist CALMFT125853