Mortinsen, Samantha

Mortinsen, Samantha is an individual health care provider with primary practice located at 12968 Frederick St Ste A , Moreno Valley CA 92553-5229. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Mortinsen, Samantha can be contacted via phone (951) 505-3664.

Contact Information

Primary practice address
12968 Frederick St Ste A Moreno Valley CA 92553-5229
Phone: (951) 505-3664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PCCI2116 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF88445 California

Profile Details

NPI number 1710333109
LBN Legal business name Mortinsen, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated May 4th, 2016 - about 10 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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