| Shannon L Samples, TBS COORDINATOR | |
|
9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | |
| (707) 275-8166 | |
| (707) 275-8168 |
| Full Name | Shannon L Samples |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 9860 Middle Creek Rd, Upper Lake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316087307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L Samples, TBS COORDINATOR 8357 Saddle Rd, Kelseyville, CA 95451-7847 Ph: () - | Shannon L Samples, TBS COORDINATOR 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 Ph: (707) 275-8166 |
April D Byerly, MH REHAB SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 9860 Middle Creek Rd, Upper Lake, CA 95485 Phone: 707-275-8166 Fax: 707-275-8168 | |
Wendy Groshong, REHAB SPEC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9860 Middle Creek Rd, Upper Lake, CA 95485 Phone: 707-275-8166 Fax: 707-275-8168 | |
Athina Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 1st St, Upper Lake, CA 95485 Phone: 707-467-2010 | |
Ann Martin, MHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9860 Middle Creek Rd, Upper Lake, CA 95485 Phone: 707-472-2922 | |
Virgina L Price, MH REHAB SPEC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9860 Middle Creek Rd, Upper Lake, CA 95485 Phone: 707-275-8166 | |
Jozlyn Chappelle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 1st St, Upper Lake, CA 95485 Phone: 707-275-9905 |