Szudera, John William
Szudera, John William is an sole proprietor health care provider with primary practice located at 750 W Ustick Rd Ste 120 , Meridian ID 83646-6133. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Szudera, John William can be contacted via phone (208) 273-9521.Contact Information
Primary practice address
750 W Ustick Rd Ste 120
Meridian ID 83646-6133
Phone: (208) 273-9521
Fax: (208) 502-2538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0019370 | Colorado |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | BBH-LMFT-LIC-48138 | Montana |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT.0002364 | Colorado |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT-5534 | Idaho |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-5584 | Idaho |
Profile Details
NPI number | 1457632218 |
---|---|
LBN Legal business name | Szudera, John William |
Credentials | LMFT, LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 2011 |
Last updated | Aug 4th, 2023 - about last year |
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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