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: |