Individual
SUSAN SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 N 94TH DR, SUITE J2, PEORIA, AZ 85381-4835
(623) 487-7763
(623) 486-8276
Mailing address
8292 E CORTEZ DR, SCOTTSDALE, AZ 85260-5668
(623) 680-5634
(480) 661-9024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-0947
AZ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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