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

Samuel Jefferson

Individual provider Mental Health Counselor · NPI 1548928898

Samuel Jefferson is a Mental Health Counselor in Camarillo, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1756 S Lewis Rd
Camarillo, CA 93012-8520
Phone: (805) 383-3669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 — (805) 289-0120

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1548928898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2021
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790

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