Individual
SUSAN STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22431 ANTONIO PARKWAY, SUITE B160-694, RANCHO SANTA MARGARITA, CA 92688
(949) 742-1476
Mailing address
22431 ANTONIO PARKWAY, SUITE B160-694, RANCHO SANTA MARGARITA, CA 92688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PSY D16953
CA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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