Individual provider · Type 1 NPI

Susan Joan Lodge, MFT

Mental Health Counselor · Santa Ana, CA

NPI number 1376735506 Active

Practice location

2221 Liane Ln
Santa Ana, CA 92705-3394

Call (714) 227-2439 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMVO23094 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1376735506

Susan Joan Lodge, MFT's National Provider Identifier is 1376735506, issued on Aug 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Aug 12, 2007.