Individual provider · Type 1 NPI

Susan Marie Kokke, LMFT 40557

Mental Health Counselor · Petaluma, CA

NPI number 1124544275 Active

Practice location

405 East D Street, Suite 109
Petaluma, CA 94952-3173

Call (707) 953-8360 Map

Mailing address

152 Alta Dr
Petaluma, CA 94954-3784

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMFT40557 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1124544275

Susan Marie Kokke, LMFT 40557's National Provider Identifier is 1124544275, issued on Aug 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petaluma, CA. The record was last updated on Aug 21, 2017.