Organization
HORSESPEAK CENTER FOR PERSONAL DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN REZIN LMFT (INTERIM CLINICAL DIRECTOR)
(209) 772-3871
Entity
Organization
Contact information
Practice address
11568 ARAPAHO WAY, BURSON, CA 95225
(209) 772-3871
Mailing address
PO BOX 674, BURSON, CA 95225-0674
(209) 772-3871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
06/15/2023
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