Individual provider · Type 1 NPI
Susan Dekom
Addiction (Substance Use Disorder) Counselor · San Mateo, CA
NPI number
1457590770
Active
Practice location
818 N Delaware St Apt 411
San Mateo, CA 94401-1525
Fax (650) 348-8824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457590770
Susan Dekom's National Provider Identifier is 1457590770, issued on Feb 10, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Feb 10, 2009.