Samantha Dubose
Samantha Dubose is a Marriage and Family Therapist in Modesto, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Years since qualifying
- 10
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
Modesto, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 101 Poplar Ave, Modesto, CA 95354-0509 — (209) 550-5869
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 117273 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1871957365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2016 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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