Individual
SUSIE COLE ROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER OF ART LMFT
Contact information
Practice address
23480 PARK SORRENTO, SUITE 209A, CALABASAS, CA 91302-1306
(818) 704-0084
Mailing address
24933 KIT CARSON RD, HIDDEN HILLS, CA 91302-1136
(818) 704-0084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMFT 24106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT 24106
LICENSED MARRIAGE AND FAMILY THERAPIST
CA
01
—
MR24106
LMFT
CA
Enumeration date
04/25/2016
Last updated
04/25/2016
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