Samantha Aisha Chiles, R1490301122
Samantha Aisha Chiles, R1490301122 is an Addiction (Substance Use Disorder) Counselor in Venice, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
503 Ocean Frnt WalkVenice, CA 90291-2403
Phone: (310) 392-3070
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1144932542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | R1490301122 |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2022 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
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