Individual
DR. SUSAN LACHICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
106 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1500
(928) 475-1525
Mailing address
P.O. BOX 0, SAN CARLOS, AZ 85550
(928) 475-1500
(928) 475-1525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAAC-13162
AZ
103T00000X
Psychologist
Primary
PSY-004504
AZ
Other
Enumeration date
05/01/2013
Last updated
10/08/2025
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