Gunseth, Samantha Jo

Gunseth, Samantha Jo is an individual health care provider with primary practice located at 333 Limited Ave , Lake Elsinore CA 92530-3746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gunseth, Samantha Jo can be contacted via phone (951) 675-6012.

Contact Information

Primary practice address
333 Limited Ave Lake Elsinore CA 92530-3746
Phone: (951) 675-6012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118948 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376949818
LBN Legal business name Gunseth, Samantha Jo
Credentials BA, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Jul 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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