Individual
MS. DEBRA DEE ST.LAWRENCE-SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1000 QUAIL ST STE 155, NEWPORT BEACH, CA 92660-2765
(949) 355-1022
Mailing address
138 WEATHERVANE, IRVINE, CA 92603-4226
(949) 355-1022
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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