Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariesa Jene Samba

Individual provider Mental Health Counselor · NPI 1831745967

Mariesa Jene Samba is a Mental Health Counselor in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

4601 S Broadway
Los Angeles, CA 90037-2729
Phone: (323) 234-4445
Fax: (323) 682-0632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 — (213) 241-3841

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 103762 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831745967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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