Lilledahl, Susan
Lilledahl, Susan is an sole proprietor health care provider with primary practice located at 129 La Goma St , Mill Valley CA 94941-9494. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lilledahl, Susan can be contacted via phone (415) 381-6453.Contact Information
Primary practice address
129 La Goma St
Mill Valley CA 94941-9494
Phone: (415) 381-6453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MC34555 | California |
Profile Details
| NPI number | 1528125531 |
|---|---|
| LBN Legal business name | Lilledahl, Susan |
| Credentials | SUSAN LILLEDAHL MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| 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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