Most Relevant Information
Provider Data
| NPI Number: | 1003321050 |
| Provider Name: | SAMANTHA NGUYEN MS,AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 101757 |
Most Important Dates
| Enumeration Date: | 12/12/2017 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
1336 BRIDGEGATE DR
DIAMOND BAR
CA
917653955
Practice Location Phone/Fax
| Phone: | 6269604844 |
| Fax: |
Provider Mailing Location
18350 MOUNT LANGLEY ST STE 220
FOUNTAIN VALLEY
CA
927086912
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |