Individual provider · Type 1 NPI
Susan Kudrak
Professional Counselor · Bethel, CT
NPI number
1336790211
Active
Practice location
35 Judd Ave
Bethel, CT 06801-1538
Fax (203) 744-0801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000637 (CT) |
Professional Counselor: Definition to come...
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About NPI 1336790211
Susan Kudrak's National Provider Identifier is 1336790211, issued on Sep 23, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethel, CT. The record was last updated on Sep 23, 2019.