Individual provider · Type 1 NPI
Jennifer Suban
Mental Health Counselor · Hayward, CA
NPI number
1164622130
Active
Practice location
850 Longwood Ave
Hayward, CA 94541-7151
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1164622130
Jennifer Suban's National Provider Identifier is 1164622130, issued on Jul 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on Jul 18, 2007.