Harrison, Susan Marie

Harrison, Susan Marie is an individual health care provider with primary practice located at 1021 4Th St # B , Taft CA 93268-2433. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Harrison, Susan Marie can be contacted via phone (661) 765-7025.

Contact Information

Primary practice address
1021 4Th St # B Taft CA 93268-2433
Phone: (661) 765-7025
Fax: (661) 765-7045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1192480215 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RIH1309110010 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1669718193
LBN Legal business name Harrison, Susan Marie
Credentials RADT-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Dec 9th, 2019 - about 5 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 1669718193 NPPES
California Other SUZANH06 MENTAL HEALTH SERVICES COUNSELOR
California MEDICAID SUZANH06 MENTAL HEALTH SERVICES COUNSELOR
California Other 1669718193 MENTAL HEALTH SERVICES COUNSELOR

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