JENESAGRACE LOZANO SAMSON
NPI 1831684398
Counselor - Mental Health in Orange, CA
Active since June 27, 2018
About Jenesagrace Lozano Samson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENESAGRACE LOZANO SAMSON (NPI 1831684398) is an individual mental health provider in Orange, California, licensed in California (264239) and active in the NPI registry since June 2018.
NPPES Registry Identity
NPI1831684398
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENESAGRACE LOZANO SAMSON
Location Address401 S TUSTIN ST BLDG DOrange, CA 92866-2550
Mailing Address805 E Orangewood Ave Apt B217Anaheim, CA 92802-4472
Phone(714) 289-3936
Sole ProprietorNo
Enumeration DateJune 27, 2018
✔ NPI 1831684398 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 264239
401 S TUSTIN ST BLDG D, Orange, CA 92866
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831684398, enumerated as an "individual" on June 27, 2018.
The provider is located at 401 S TUSTIN ST BLDG D ORANGE, CA 92866 and the phone number is (714) 289-3936.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
