Individual provider · Type 1 NPI

Susanne Grace Edwards

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1467786178 Active

Practice location

19231 Victory Blvd, Suite 554
Reseda, CA 91335-6308

Mailing address

18231 Shepley Pl
Northridge, CA 91326-3219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1467786178

Susanne Grace Edwards's National Provider Identifier is 1467786178, issued on Sep 28, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Sep 28, 2009.