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

Sam Mussallam

Individual provider Counselor · NPI 1124636592

Sam Mussallam is a Counselor in Tracy, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

524 Presidio Pl
Tracy, CA 95377-8508
Phone: (209) 237-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1124636592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address524 Presidio Pl, Tracy, CA 95377-8508

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