Botello, Suzanne Andry

Botello, Suzanne Andry is an sole proprietor health care provider with primary practice located at 1538 W Daydream Dr , Flagstaff AZ 86001-7212. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Botello, Suzanne Andry can be contacted via phone (928) 266-3770.

Contact Information

Primary practice address
1538 W Daydream Dr Flagstaff AZ 86001-7212
Phone: (928) 266-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 4765 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2539 Arizona
Behavioral Health & Social Service Providers / Counseling 103TC1900X 4765 Arizona

Profile Details

NPI number 1922621242
LBN Legal business name Botello, Suzanne Andry
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2020
Last updated May 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922621242 NPPES
Arizona Other 03029048 TRANSACTION PRIVILEGE TAX NUMBER

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