Samuel Elijah Thibodeaux
Samuel Elijah Thibodeaux is an Addiction (Substance Use Disorder) Counselor in Anaheim, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
601 S Harbor BlvdAnaheim, CA 92805-4521
Phone: (714) 908-0028
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1548008162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2024 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
| Mailing address | 16662 Irby Ln, Huntington Beach, CA 92647-4919 |
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