Individual provider · Type 1 NPI
Kyle Carter Susser
Professional Counselor · Lake View Terrace, CA
NPI number
1154098952
Active
Practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Professional Counselor Primary | 101YP2500X | 11972 (CA) |
Professional Counselor: Definition to come...
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About NPI 1154098952
Kyle Carter Susser's National Provider Identifier is 1154098952, issued on Aug 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake View Terrace, CA. The record was last updated on Sep 29, 2023.