Individual
SUZAN AHMAD ALDIMASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., MFT
Contact information
Practice address
1000 QUAIL ST STE 175, NEWPORT BEACH, CA 92660-2766
(949) 235-7606
Mailing address
2240 PARK AVE, LAGUNA BEACH, CA 92651-2220
(949) 235-7606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
40245
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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