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

Reth Sam Prom

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316674005

Reth Sam Prom is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2501 Atlantic Ave
Long Beach, CA 90806-2708
Phone: (562) 424-6105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1316674005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

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