Provider Demographics
NPI:1376773374
Name:STRICKLAND, SAMANTHA SUZANNE (LPCC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SUZANNE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-0526
Mailing Address - Country:US
Mailing Address - Phone:909-833-0633
Mailing Address - Fax:
Practice Address - Street 1:7012 N MUSCATEL AVE
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-1230
Practice Address - Country:US
Practice Address - Phone:909-833-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional