Provider Demographics
NPI:1194087841
Name:WHICKER, SAMANTHA DAWN
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:DAWN
Last Name:WHICKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W. FOSTER RD.
Mailing Address - Street 2:SANTA BARBARA COUNTY, ADMHS CHILDREN'S SERVICES
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:805-689-7171
Mailing Address - Fax:
Practice Address - Street 1:500 W. FOSTER RD.
Practice Address - Street 2:SANTA BARBARA COUNTY, ADMHS CHILDREN'S SERVICES
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455
Practice Address - Country:US
Practice Address - Phone:805-689-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health