Individual provider · Type 1 NPI

Susan Kachuck

Mental Health Counselor · Vallejo, CA

NPI number 1578768065 Active

Practice location

2201 Tuolumne St
Vallejo, CA 94589-2524

Fax (707) 558-1770

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578768065

Susan Kachuck's National Provider Identifier is 1578768065, issued on Jun 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.