Most Relevant Information
Provider Data
| NPI Number: | 1003537887 |
| Provider Name: | SAMUEL SEBASTIAN ECHEVERRIA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2022 |
| Last Updated: | 09/08/2022 |
Provider Practice Location
500 CROWN POINT CIR STE 100
GRASS VALLEY
CA
959459561
Practice Location Phone/Fax
| Phone: | 5302735440 |
| Fax: |
Provider Mailing Location
697 NIVENS LN
NEVADA CITY
CA
959592221
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |