Individual provider · Type 1 NPI

Susan Self

Professional Counselor · Peoria, AZ

NPI number 1134521370 Active

Practice location

13460 N 94th Dr, Suite J2
Peoria, AZ 85381-4835

Call (623) 487-7763 Map

Fax (623) 486-8276

Mailing address

8292 E Cortez Dr
Scottsdale, AZ 85260-5668

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-0947 (AZ)

Professional Counselor: Definition to come...

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About NPI 1134521370

Susan Self's National Provider Identifier is 1134521370, issued on Sep 18, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, AZ. The record was last updated on Sep 18, 2014.