Guaderrama, Susan

Guaderrama, Susan is an individual health care provider with primary practice located at 124 Carmen Ln , Santa Maria CA 93458-7768. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Community Health Worker is her primary health care specialty. Guaderrama, Susan can be contacted via phone (805) 348-1850.

Contact Information

Primary practice address
124 Carmen Ln Santa Maria CA 93458-7768
Phone: (805) 348-1850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1003995952
LBN Legal business name Guaderrama, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 31st, 2023 - about 2 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 1003995952 NPPES
Other 1316192149 TELECARE SANTA MARIA ACT

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