SAMANTHA PRUITT

MODESTO, CA
NPI1841694981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A051060319)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-10-17
Last Update Date2023-08-29
Business Address
SAMANTHA PRUITT CADC II, ICADC
2000 W BRIGGSMORE AVE STE. I
MODESTO, CA 95350-3839
Phone number: 209-526-1440
Mailing Address
SAMANTHA PRUITT CADC II, ICADC
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7466