Kountz-Edwards, Samantha
Kountz-Edwards, Samantha is an individual health care provider with primary practice located at 1588 Hallbrook Dr , San Jose CA 95118-1611. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kountz-Edwards, Samantha can be contacted via phone (408) 209-0896.Contact Information
Primary practice address
1588 Hallbrook Dr
San Jose CA 95118-1611
Phone: (408) 209-0896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY28660 | California |
Profile Details
| NPI number | 1104362433 |
|---|---|
| LBN Legal business name | Kountz-Edwards, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Jan 10th, 2017 - about 9 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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