Individual
SUMA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2341 N 83RD DR, PHOENIX, AZ 85037-3742
(908) 672-9301
Mailing address
2341 N 83RD DR, PHOENIX, AZ 85037-3742
(908) 672-9301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-19154
AZ
101YP2500X
Professional Counselor
Primary
LPC-19154
AZ
172V00000X
Community Health Worker
LPC-19154
AZ
172V00000X
Community Health Worker
—
CO
Other
Enumeration date
08/04/2020
Last updated
09/29/2023
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