Individual
MS. SUSAN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC10936
Contact information
Practice address
1930 S ALMA SCHOOL RD, SUITE A104, MESA, AZ 85210-3064
(480) 820-0825
(480) 820-7863
Mailing address
2017 N 7TH ST, PHOENIX, AZ 85006-2102
(602) 452-4684
(602) 358-0399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC10936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC10936
THERAPIST
AZ
Enumeration date
11/08/2006
Last updated
07/08/2007
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