Individual provider · Type 1 NPI

Susan Melinda Self

Professional Counselor · San Angelo, TX

NPI number 1619791720 Active

Practice location

3194 Executive Dr
San Angelo, TX 76904-6802

Call (325) 262-0090 Map

Mailing address

2206 Dallas St
San Angelo, TX 76901-2424

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X65186 (TX)

Professional Counselor: Definition to come...

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About NPI 1619791720

Susan Melinda Self's National Provider Identifier is 1619791720, issued on Nov 14, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Angelo, TX. The record was last updated on Nov 14, 2024.