Individual provider · Type 1 NPI

Stephanie Susidko

Addiction (Substance Use Disorder) Counselor · Salinas, CA

NPI number 1174987127 Active

Practice location

338 Monterey St
Salinas, CA 93901-3411

Call (831) 424-6655 Map

Mailing address

319 Regency Cir Apt 202
Salinas, CA 93906-5515

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse 164X00000X257759 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174987127

Stephanie Susidko's National Provider Identifier is 1174987127, issued on Apr 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salinas, CA. The record was last updated on Dec 21, 2016.