Kilbourne, Samantha

Kilbourne, Samantha is an individual health care provider with primary practice located at 25060 Hancock Ave Unit 103-143 , Murrieta CA 92562-5930. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kilbourne, Samantha can be contacted via phone (951) 852-0564.

Contact Information

Primary practice address
25060 Hancock Ave Unit 103-143 Murrieta CA 92562-5930
Phone: (951) 852-0564
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33751 California

Profile Details

NPI number 1134445547
LBN Legal business name Kilbourne, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Jun 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134445547 NPPES
California MEDICAID 1134445547

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