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

Wathana Sam

Individual provider School Counselor · NPI 1790516102

Wathana Sam is a School Counselor in Stockton, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1315 Woodcreek Way
Stockton, CA 95209-2050
Phone: (209) 817-2921
Show map & directions

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

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X

Record details

NPI number1790516102
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address1315 Woodcreek Way, Stockton, CA 95209-2050

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