Haradon, Susan

Haradon, Susan is an individual health care provider with primary practice located at 4700 Spring St Ste 306, La Mesa CA 91941-5263. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Haradon, Susan can be contacted via phone (619) 462-1611.

Contact Information

Primary practice address
4700 Spring St Ste 306 La Mesa CA 91941-5263
Phone: (619) 462-1611
Fax: (619) 460-8093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CAPSY6075 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CAMIZ990 California

Profile Details

NPI number 1841289246
LBN Legal business name Haradon, Susan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1841289246 NPPES
California MEDICAID PL0060750

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