Mrs. Olga Viktorovna Samsonova-Jellison, MT-BC
Mrs. Olga Viktorovna Samsonova-Jellison, MT-BC is a Music Therapist in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3098 Mace Ave Apt CCosta Mesa, CA 92626-2546
Phone: (714) 308-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Music Therapist (primary) | Taxonomy 225A00000X · Licence 09262 |
|---|
Record details
| NPI number | 1750816211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MT-BC |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2017 |
| Last updated in NPPES | April 21, 2017 |
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