Individual provider · Type 1 NPI

Susan Kanemasu, CACIII

Addiction (Substance Use Disorder) Counselor · Longmont, CO

NPI number 1588039945 Active

Practice location

850 23rd Ave, Unit A
Longmont, CO 80501-1114

Mailing address

912 W Mountain Ave
Fort Collins, CO 80521-2510

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACC0020836 (CO)

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

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About NPI 1588039945

Susan Kanemasu, CACIII's National Provider Identifier is 1588039945, issued on Dec 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longmont, CO. The record was last updated on Dec 9, 2015.