Provider Demographics
NPI:1558989327
Name:ZACHMAN, SAMANTHA JANE (LMFT #132422)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:JANE
Last Name:ZACHMAN
Suffix:
Gender:F
Credentials:LMFT #132422
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10636 INDUSTRIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5902
Mailing Address - Country:US
Mailing Address - Phone:916-243-5505
Mailing Address - Fax:
Practice Address - Street 1:10636 INDUSTRIAL AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5902
Practice Address - Country:US
Practice Address - Phone:916-243-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health