CARLY SAMELSON

SACRAMENTO, CA
NPI1497107320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT121952)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  IMF101351)
106H00000X Marriage & Family Therapist
(Licence: CA  121952)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-07-02
Last Update Date2020-09-29
Business Address
CARLY SAMELSON
3671 BUSINESS DR
SACRAMENTO, CA 95820-2165
Phone number: 916-402-4164
Mailing Address
CARLY SAMELSON
3671 BUSINESS DR
SACRAMENTO, CA 95820-2165
Phone number: 916-402-4164