Individual provider · Type 1 NPI

Sean Souza

Mental Health Counselor · Grants Pass, OR

NPI number 1396002143 Active

Practice location

210 Tacoma St
Grants Pass, OR 97526-9370

Call (154) 147-6330 Map

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396002143

Sean Souza's National Provider Identifier is 1396002143, issued on Apr 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Apr 18, 2012.